Peptides of cav2.2 that inhibit pain

ABSTRACT

The present invention relates to peptides of CaV2.2 and their use in the treatment of pain. The sequence of the peptides is derived from the C-terminus of CaV2.2. and is believed to inhibit the interaction of CaV2.2 with Mint1-PDZ1. The invention is related to use of this peptide to treat pain and to use of this peptide in binding reaction with int-PDZ to screen for small molecules that can inhibit pain.

This application claims benefit of priority to U.S. Provisional Application Ser. No. 60/558,383, filed Apr. 1, 2004, the entire contents of which are hereby incorporated by reference.

The government owns rights in the present invention pursuant to grant number NS039552 from the NINDS.

BACKGROUND OF THE INVENTION

1. Field of the Invention

The present invention relates to fields of molecular biology and pathology. More particularly, the present invention relates to peptides of CaV2.2 and methods for their use in the treatment of pain.

2. Description of Related Art

There are six distinguishable types of voltage-dependent calcium channels (VDCC) presently described, designated L-type, N-type, P/Q-type, L-type, R-type, and T-type, which are expressed throughout the nervous system (Tsien et al., 1991). Presynaptic voltage-gated Ca2⁺ channels mediate rapid Ca2⁺ influx into the synaptic terminal that triggers synaptic vesicle exocytosis and neurotransmitter release (Llinas et al., 1981). N-type Ca2⁺ channels, encoded by CaV2.2 pore-forming subunit (Williams et al., 1992; Ertel et al., 2000) and P/Q-type Ca2⁺ channels, encoded by the CaV2.1 pore-forming subunit (Mori et al., 1991; Ertel et al., 2000), play a predominant role in supporting chemical neurotransmission in central synapses (Takahashi and Momiyama, 1993; Wheeler et al., 1994; Dunlap et al., 1995; Reuter, 1995). Sensation of pain is mediated by nociceptive neurons in the dorsal root ganglia (DRG) (McCleskey and Gold, 1999; Yaksh, 1999). N-type voltage-gated Ca²⁺ channels (Ca_(v)2.2) are abundantly expressed in DRG neurons (Kerr et al., 1988; Gohil et al., 1994; Westenbroek et al., 1998) and play a predominant role in control of glutamate release from DRG neurons in the spinal cord. Thus, inhibition of N-type Ca²⁺ channels is expected to have anti-nociceptive effect. Indeed, studies have suggested that N-type calcium channel antagonists are mainly effective in reducing pain associated with inflammation and tissue/nerve injury, although some effect has been shown in acute models of pain. Anti-nociceptive effects of L- and P/Q-type VDCC antagonists have also been reported; however, these effects appear to be moderate at best.

Pain can be essentially divided into 2 broad categories: physiological pain and pathological pain. Physiological pain is good for the organism in that it is protective. To prevent damage to tissue, physiological pain pathways are activated by noxious stimulation. Physiological pain must only be controlled under specific clinical situations, such as during surgery, medical procedures, or following trauma. Drugs that chronically disable pathways that transmit physiological pain are undesirable as they cause the organism to lose the protective function of pain. Pathological pain, on the other hand, is not the result of a noxious stimulation or healing tissue. Pathological pain originates from abnormal function of the nervous system due to nerve lesion or compression, neuropathy, tumor growth, or tissue inflammation. Current therapeutics that are used for the treatment of pathological pain are typically limited by serious side effects and the development of tolerance.

Pain researchers developed three classes of pain animal models: acute (physiological) pain model (hot plate, tail flick, paw pressure), inflammatory models (carrageenan and formalin), and nerve injury (sciatic nerve ligation, focal spinal injury) (Yaksh, 1999). A biphasic behavioural response is observed in the formalin model. The phase I of the response (1-10 min after injection) corresponds to acute afferent input resulting from the activation of primary afferent neurons. The phase II of the response (10-60 min) results from sensitization of spinal responses and considered to be an appropriate model for persistent pain (Yaksh, 1999).

Consistent with the role of N-type Ca²⁺ channels in pain pathway, pharmacological block of N-type Ca²⁺ channels by single injection or continuos infusion of synthetic ω-conopetide SNX-111 inhibited phase II formalin response in rat animal model (Malmberg and Yaksh, 1994, 1995). The role of N-type Ca²⁺ channels in pain pathway was further supported by analysis of Ca_(v)2.2 knockout mice (Hatakeyama et al., 2001; Kim et al., 2001; Saegusa et al., 2001). All 3 groups observed supression of phase II formalin response in Ca_(v)2.2−/− mice when compared to wild type mice.

These results pointed to N-type Ca²⁺ channels as potential drug target for a treatment of persistent pain. Based on this idea, Elan Pharmaceuticals (initially Neurex) developed a drug Ziconotide (SNX-111, a synthetic version of ω-conotoxin MVIIA). Very promising results were obtained with Ziconitide in clinical trails and currently FDA is considering Ziconotide for approval. However, although Ziconotide is highly effective for treatment of chronic pain, there is also a number of problems associated with its use. Ziconitide (SNX-111) is a polypeptide with a complex chemical structure and very difficult to synthesize. Ziconitide does not pass blood-brain-barrier and has to be delivered by pump infusion directly into a spinal cord, greatly limiting score of its applications. In addition, a number of severe side-effects were reported in some patients in response to Ziconitide (Penn and Paice, 2000).

It has been demonstrated that neuron-to-neuron contact is required for N-type Ca2⁺ channel clustering during synapse formation in rat hippocampal neuronal culture (Bahls et al., 1998). More recently, synaptic targeting of an auxiliary P/Q-type Ca2⁺ channel subunitβ4 was investigated (Wittemann et al., 2000). The present inventors have previously investigated targeting of recombinant N-type Ca2⁺ channels to synaptic locations in rat hippocampal neuronal cultures. It was found that in immature and in mature low-density hippocampal cultures, recombinant N-type Ca2⁺ channels are uniformly distributed in both axonal and somatodendritic compartments. In contrast, in mature high-density cultures, the recombinant N-type Ca2⁺ channels are clustered in presynaptic sites and primarily excluded from the somatodendritic domain. Synaptic clustering of recombinant N-type channels depended critically on the most C-terminal region of the “long” splice variant of the N-type Ca2⁺ channel pore-forming subunit CaV2.2a (Williams et al., 1992; Ertel et al., 2000).

In another earlier study, the inventors identified postsynaptic density-95 (PSD-95)/discs large/zona occludens-1 (PDZ) and Src homology 3 (SH3) domainbinding motifs in the same region of the CaV2.2 subunit (Maximov et al., 1999). The association of CaV2.2-NC1 C termini with the Mint1/CASK/veli-neurexin/neuroligin complex (Maximov et al., 1999) provides a possible molecular mechanism for N-type Ca2⁺ channel synaptic targeting during synaptogenesis, and the association of CaV2.2a-NC1 C terminal with Mint1-PDZ1 and CASK-SH3 domains (Maximov et al., 1999) links synaptic N-type channels to neurexin-neuroligin neuronal adhesion complex (Irie et al., 1997; Nguyen and Sudhof, 1997; Butz et al., 1998; Song et al., 1999) and synaptic clustering of the channels and synaptic organization (Fanning and Anderson, 1996; Kornau et al., 1997; Craven and Bredt, 1998). The importance of N-type channel association with Mint1 and neurexins is consistent with impaired presynaptic function in neurons from Mint1 kockout (Ho et al., 2003) and α-neurexins (Missler et al., 2003) knockout mice.

More recently, the inventors have shown that CaV2.2 C termini also bind to INADL-5, PAR6, and MUPP1-9 PDZ domains (Bezprozvanny and Maximov, 2001) and that the proline-rich region of the CaV2.2 C-terminus has been implicated recently in interactions with the SH3 domain of RBP (Hibino et al., 2002). Subsequently, the inventors also demonstrated that these motifs act as synergistic synaptic targeting signals for N-type channels in rat hippocampal neurons (Maximov and Bexprozvanny, 2002). The inventors also demonstrated that introduction of CaV2.2 carboxy-terminal sequence into hippocampal neurons by transfection impairs their presynaptic function (Maximov & Bezprozvanny, 2002). However, there have yet to be reported attempts to specifically block these interactions and determine the ensuing biological consequences, particular with regard to pain.

SUMMARY OF THE INVENTION

Thus, in accordance with the present invention, there is provided an isolated and purified peptide of 4 to about 50 residues comprising the sequence DHWC (SEQ ID NO:1), or conservative variants thereof. The peptide may comprises the sequence QDHWC (SEQ ID NO:2), DQDHWC (SEQ ID NO:3), PDQDHWC (SEQ ID NO:4), HPDQDHWC (SEQ ID NO:5), HHPDQDHWC (SEQ ID NO:6), YHHPDQDHWC (SEQ ID NO:7), SYHHPDQDHWC (SEQ ID NO:8) or HSYHHPDQDHWC (SEQ ID NO:9). The peptide may further comprise a permeant protein delivery motif, such as a TAT sequence or an R9 sequence. The peptide may be 40 residues in length, 30 residues in length, 20 residues in length, 15 residues in length, 12 residues in length, 10 residues in length, 8 residues in length, 7 residues in length, 6 residues in length, 5 residues in length, or 4 residues in length. The peptide may be further comprised within a pharmaceutically acceptable buffer, diluent or excipient, or within a lipid vehicle, such as a liposome.

In another embodiment, there is provided a nucleic acid encoding peptide of 4 to about 50 residues comprising the sequence DHWC or conservative variants thereof operably linked to a promoter. The promoter may be tissue specific or constitutive. Constitutive promoters include CMV IE, RSV, and SV40 large T. The nucleic acid may further comprise a polyadenylation signal. The nucleic acid may be located in a viral vector, such as a retrovirus, adenovirus, adeno-associated virus, vaccinia virus, herpesvirus or polyoma virus. The nucleic acid may also be comprised in a non-viral vector, such as a non-viral vector comprised in a lipid vehicle, e.g. a a liposome. The nucleic acid may further encode a permeant protein delivery motif fused to SEQ ID NO:1.

In yet another embodiment, there is provided a method of inhibiting pain in an animal comprising administering to the animal a peptide of 4 to about 50 residues comprising the sequence DHWC (SEQ ID NO:1) or conservative variants thereof, the peptide dispersed in a pharmaceutically acceptable buffer, diluent or excipient. The peptide may be 40 residues in length, 20 residues in length, 12 residues in length, 8 residues in length or 4 residues in length. The peptide may further be comprised within a lipid vehicle, such as a liposome. The pain to be treated may be selected from the group consisting of neuropathic pain, inflammatory pain and pain secondary to cancer. The method may further comprise administering a second anti-pain agent to the animal, such as a steroid, an NTHE, or an opioid. The animal may be a human, a dog, a cat, a rat, a mouse, a horse, a cow or a rabbit.

In still yet another embodiment, there is provided a method of inhibiting pain in an animal comprising administering to the animal a nucleic acid encoding peptide of 4 to about 50 residues comprising the sequence DHWC (SEQ ID NO:1) or conservative variants thereof operably linked to a promoter, the nucleic acid dispersed in a pharmaceutically acceptable buffer, diluent or excipient. The nucleic acid may be located in a viral vector, such as a retrovirus, adenovirus, adeno-associated virus, vaccinia virus, herpesvirus and polyoma virus. The nucleic acid may be comprised in a non-viral vector, such as in a lipid vehicle, e.g., a lipsome. The pain to be treated may be neuropathic pain, inflammatory pain or pain secondary to cancer. The method may further comprise administering a second anti-pain agent to the animal, such as a steroid, an NTHE, or an opioid.

In further embodiments, there are provided methods of screening for an anti-pain agents comprising:

-   -   (a) providing a peptide of 4 to about 50 residues comprising the         a peptide with one or more conservative variants of DHWC (SEQ ID         NO:1);     -   (b) contacting the peptide with an animal model of pain; and     -   (c) determining the ability of the peptide to inhibit pain in         the animal model,         or:     -   (a) providing a peptide of 4 to about 50 residues comprising the         sequence DHWC (SEQ ID NO:1);     -   (b) contacting the peptide and Mint1, Mint1-PDZ1 domain, Mint2,         or Mint2-PDZ1 domain in the presence of a candidate substance;         and     -   (c) determining the ability of candidate substance to inhibit         the peptide binding Mint1, Mint1-PDZ1 domain, Mint2, or         Mint2-PDZ1 domain,         or:     -   (a) providing a peptide of 4 to about 50 residues comprising the         sequence DHWC (SEQ ID NO:1);     -   (b) contacting said peptide and Mint1-PDZ1/2 domains in the         presence of a candidate substance; and     -   (c) determining the ability of candidate substance to inhibit         the peptide bindning Mint1-PDZ1/2 domains,         or:     -   (a) providing a peptide of 4 to about 50 residues comprising the         sequence DHWC (SEQ ID NO: 1);     -   (b) contacting said peptide and Mint2 in the presence of a         candidate substance; and     -   (c) determining the ability of candidate substance to inhibit         the peptide bindning Mint2,         or:     -   (a) providing a peptide of 4 to about 50 residues comprising the         sequence DHWC (SEQ ID NO: 1);     -   (b) contacting said peptide and Mint2-PDZ1 domain in the         presence of a candidate substance; and     -   (c) determining the ability of candidate substance to inhibit         the peptide bindning Mint2-PDZ1 domain,         or:     -   (a) providing a peptide of 4 to about 50 residues comprising the         sequence DHWC (SEQ ID NO:1);     -   (b) contacting said peptide and Mint2-PDZ1/2 domains in the         presence of a candidate substance; and     -   (c) determining the ability of candidate substance to inhibit         the peptide bindning Mint2-PDZ1/2 domains.

It is contemplated that any method or composition described herein can be implemented with respect to any other method or composition described herein.

The use of the word “a” or “an” when used in conjunction with the term “comprising” in the claims and/or the specification may mean “one,” but it is also consistent with the meaning of “one or more,” “at least one,” and “one or more than one.”

These, and other, embodiments of the invention will be better appreciated and understood when considered in conjunction with the following description and the accompanying drawings. It should be understood, however, that the following description, while indicating various embodiments of the invention and numerous specific details thereof, is given by way of illustration and not of limitation. Many substitutions, modifications, additions and/or rearrangements may be made within the scope of the invention without departing from the spirit thereof, and the invention includes all such substitutions, modifications, additions and/or rearrangements.

BRIEF DESCRIPTION OF THE DRAWINGS

The following drawings form part of the present specification and are included to further demonstrate certain aspects of the present invention. The invention may be better understood by reference to one or more of these drawings in combination with the detailed description of specific embodiments presented herein.

FIGS. 1A & 1B—Supression of phase II, but not phase I formalin response in mouse injected with R9-NC peptide. FIG. 1A. Sequence of R9-NC peptide. FIG. 1B. Results of formalin assay in control mouse (n=8) and mouse injected with R9-NC 60 min prior to formalin injection (n=8). Phase I response (1-10 min from formalin injection) and phase II response (11-60 min from formalin injection) are shown.

FIG. 2—Supression of phase II, but not phase I formalin response in rats injected with R9-QDHWC peptide. The effect of i.v. administration of PBS, R9 (1 mM) or R9-QDHWC (1 mM) on phase I and phase II of the formalin assay. Phase I represents the period from 0-10 min following formalin injection and phase II represents the period from 11-60 min following formalin injection. N=4-7 rats per group. *** indicates a significant difference when compared to PBS injection (p<0.01).

FIGS. 3A-D—Effects of R9-QDHWC peptides on synaptic function. Double-staining protocol is shown on the top. Results of first and second destaining are shown for representative puncta for control neurons (FIG. 3A), for neurons loaded with R9 peptide (FIG. 3B) and for neurons loaded with R9-QDHWC peptide (FIG. 3C). An average d2/d1 ratios are compared for all 3 groups of neurons (FIG. 3D).

FIG. 4—Principle of HTRF-based HTS screen for blockers of bio-NC peptide association with GST-Mint1-PDZ1 domain.

FIG. 5—HTRF data using bio-NC and GST-Mint1-PDZ1. Biotin is a control.

FIG. 6—Principle of ALPHA-based HTS screen for blockers of bio-NC peptide association with GST-Mint1-PDZ1 domain.

FIG. 7—ALPHA data using bio-NC and GST-Mint1-PDZ1. Biotin is a control.

DESCRIPTION OF ILLUSTRATIVE EMBODIMENTS

As stated above, the inventors reported previously (Maximov et al., 1999) that there was specific association of the CaV2.2 C-terminal region with the first PDZ domain in the neuronal adaptor protein Mint1 and with the SH3 domain of the adaptor protein CASK. More recently, they have shown that CaV2.2 C termini also bind to INADL-5, PAR6, and MUPP1-9 PDZ domains (Bezprozvanny and Maximov, 2001). The proline-rich region of the CaV2.2 C terminal also has been implicated recently in interactions with the SH3 domain of RBP (Hibino et al., 2002). Thus, a number of adaptor proteins appear to play a role in N-type Ca2⁺ channel synaptic targeting, with Mint1 and CASK being the best candidates for an important interacting role with N-type Ca2⁺ channel synaptic targeting.

In previous reports, the inventors speculated that the association of CaV2.2-NC1 C termini with the Mint1/CASK/veli-neurexin/neuroligin complex (Maximov et al., 1999) provided a possible molecular mechanism for N-type Ca2⁺ channel synaptic targeting during synaptogenesis (Maximov and Bezprozvanny, 2002). Here, the inventors now provide evidence that a discrete peptide, derived from the C-terminal region of CaV2.2, can in fact inhibit pain responses in vivo. The synthesis and use of such peptides in the treatment of pain is described in greater detail below.

1. CAV2.2 PEPTIDES OR POLYPEPTIDES

The present invention relates to the use of C-terminal peptides of CaV2.2. Accession nos. for human and rat CaV2.2 proteins are NM000718 (SEQ ID NO:11) and NM147141 (SEQ ID NO:13), respectively. CaV2.2 is the α1B subunit for an N-type Ca2⁺ channel. It has been localized to the piriform cortex, hippocampus, hypothalamus, locus coeruleus, dorsal raphe, thalamic nuclei, and granular layer of the cortex. The human protein is 2339 residues, and the rat protein is 2333 residues. Each polypeptide concludes with an identical 12 residue sequence of HSYHHPDQDHWC (SEQ ID NO:9), which is a subject of the present invention.

Documents relating to CaV2.2 include U.S. Pat. Nos. 5,429,921, 5,792,846, 5,846,757, 5,851,824, 6,096,514, 6,140,485, 6,229,000, 6,353,091, 6,528,630 and 6,653,097, each of which are hereby incorporated by reference.

A. Structural Features

CaV2.2 peptides will comprise molecules of 4 to about 50 residues in length having the sequence DHWC. A particular preferred length may be less than 35 residues, less than 30 residues, less than 25 residues, less than 20 residues, less than 15 residues, or less than 13, including 4, 5, 6, 7, 8, 9, 10, 11 or 12 residues. The peptides may be generated synthetically or by recombinant techniques, and are purified according to known methods, such as precipitation (e.g., ammonium sulfate), HPLC, ion exchange chromatography, affinity chromatography (including immunoaffinity chromatography) or various size separations (sedimentation, gel electrophoresis, gel filtration).

The peptides may be labeled using various molecules, such as fluorescent, chromogenic or colorimetric agents. The peptides may also be linked to other molecules, including other anti-pain agents. The links may be direct or through distinct linker molecules. The linker molecules in turn may be subject, in vivo, to cleavage, thereby releasing the agent from the peptide. Peptides may also be rendered multimeric by linking to larger, and possibly inert, carrier molecules.

B. Variants or Analogs of CaV2.2

i) Substitutional Variants

It also is contemplated in the present invention that variants or analogs of CaV2.2 peptides may also inhibit pain. Polypeptide sequence variants of CaV2.2, primarily making conservative amino acid substitutions to SEQ ID NO:1, may provide improved compositions. Substitutional variants typically contain the exchange of one amino acid for another at one or more sites within the protein, and may be designed to modulate one or more properties of the polypeptide, such as stability against proteolytic cleavage, without the loss of other functions or properties. Substitutions of this kind preferably are conservative, that is, one amino acid is replaced with one of similar shape and charge. Conservative substitutions are well known in the art and include, for example, the changes of: alanine to serine; arginine to lysine; asparagine to glutamine or histidine; aspartate to glutamate; cysteine to serine; glutamine to asparagine; glutamate to aspartate; glycine to proline; histidine to asparagine or glutamine; isoleucine to leucine or valine; leucine to valine or isoleucine; lysine to arginine; methionine to leucine or isoleucine; phenylalanine to tyrosine, leucine or methionine; serine to threonine; threonine to serine; tryptophan to tyrosine; tyrosine to tryptophan or phenylalanine; and valine to isoleucine or leucine.

The following is a discussion based upon changing of the amino acids of a peptide to create an equivalent, or even an improved, second-generation molecule. For example, certain amino acids may be substituted for other amino acids in a protein structure without appreciable loss of interactive binding capacity with structures such as, for example, antigen-binding regions of antibodies or binding sites on substrate molecules. Since it is the interactive capacity and nature of a peptide that defines that peptide's biological functional activity, certain amino acid substitutions can be made in a protein sequence, and its underlying DNA coding sequence, and nevertheless obtain a peptide with like properties. It is thus contemplated by the inventors that various changes may be made in the DNA sequences coding the peptide without appreciable loss of their biological utility or activity, as discussed below.

In making such changes, the hydropathic index of amino acids may be considered. The importance of the hydropathic amino acid index in conferring interactive biologic function on a protein is generally understood in the art (Kyte and Doolittle, 1982). It is accepted that the relative hydropathic character of the amino acid contributes to the secondary structure of the resultant peptide, which in turn defines the interaction of the peptide with other molecules.

Each amino acid has been assigned a hydropathic index on the basis of their hydrophobicity and charge characteristics (Kyte and Doolittle, 1982), these are: isoleucine (+4.5); valine (+4.2); leucine (+3.8); phenylalanine (+2.8); cysteine/cystine (+2.5); methionine (+1.9); alanine (+1.8); glycine (−0.4); threonine (−0.7); serine (−0.8); tryptophan (−0.9); tyrosine (−1.3); proline (−1.6); histidine (−3.2); glutamate (−3.5); glutamine (−3.5); aspartate (−3.5); asparagine (−3.5); lysine (−3.9); and arginine (−4.5).

It is known in the art that certain amino acids may be substituted by other amino acids having a similar hydropathic index or score and still result in a peptide with similar biological activity, i.e., still obtain a biological functionally equivalent protein. In making such changes, the substitution of amino acids whose hydropathic indices are within ±2 is preferred, those which are within ±1 are particularly preferred, and those within ±0.5 are even more particularly preferred.

It is also understood in the art that the substitution of like amino acids can be made effectively on the basis of hydrophilicity. U.S. Pat. No. 4,554,101, incorporated herein by reference, states that the greatest local average hydrophilicity of a protein, as governed by the hydrophilicity of its adjacent amino acids, correlates with a biological property of the protein. As detailed in U.S. Pat. No. 4,554,101, the following hydrophilicity values have been assigned to amino acid residues: arginine (+3.0); lysine (+3.0); aspartate (±3.0±1); glutamate (+3.0±1); serine (+0.3); asparagine (+0.2); glutamine (+0.2); glycine (0); threonine (−0.4); proline (−0.5±1); alanine (−0.5); histidine *−0.5); cysteine (−1.0); methionine (−1.3); valine (−1.5); leucine (−1.8); isoleucine (−1.8); tyrosine (−2.3); phenylalanine (−2.5); tryptophan (−3.4).

It is understood that an amino acid can be substituted for another having a similar hydrophilicity value and still obtain a biologically equivalent and immunologically equivalent protein. In such changes, the substitution of amino acids whose hydrophilicity values are within ±2 is preferred, those that are within ±1 are particularly preferred, and those within ±0.5 are even more particularly preferred.

As outlined above, amino acid substitutions are generally based on the relative similarity of the amino acid side-chain substituents, for example, their hydrophobicity, hydrophilicity, charge, size, and the like. Exemplary substitutions that take various of the foregoing characteristics into consideration are well known to those of skill in the art and include: arginine and lysine; glutamate and aspartate; serine and threonine; glutamine and asparagine; and valine, leucine and isoleucine.

Another embodiment for the preparation of polypeptides according to the invention is the use of peptide mimetics. Mimetics are peptide containing molecules that mimic elements of protein secondary structure (Johnson et al, 1993). The underlying rationale behind the use of peptide mimetics is that the peptide backbone of proteins exists chiefly to orient amino acid side chains in such a way as to facilitate molecular interactions, such as those of antibody and antigen. A peptide mimetic is expected to permit molecular interactions similar to the natural molecule. These principles may be used, in conjunction with the principles outline above, to engineer second generation molecules having many of the natural properties of MBPs, but with altered and even improved characteristics.

ii) Altered Amino Acids

The present invention may employ peptides that comprise modified, non-natural and/or unusual amino acids. A table of exemplary, but not limiting, modified, non-natural and/or unusual amino acids is provided herein below. Chemical synthesis may be employed to incorporated such amino acids into the peptides of interest.

TABLE 1 Modified, Non-Natural and Unusual Amino Acids Abbr. Amino Acid Aad 2-Aminoadipic acid BAad 3-Aminoadipic acid BAla beta-alanine, beta-Amino-propionic acid Abu 2-Aminobutyric acid 4Abu 4-Aminobutyric acid, piperidinic acid Acp 6-Aminocaproic acid Ahe 2-Aminoheptanoic acid Aib 2-Aminoisobutyric acid BAib 3-Aminoisobutyric acid Apm 2-Aminopimelic acid Dbu 2,4-Diaminobutyric acid Des Desmosine Dpm 2,2′-Diaminopimelic acid Dpr 2,3-Diaminopropionic acid EtGly N-Ethylglycine EtAsn N-Ethylasparagine Hyl Hydroxylysine AHyl allo-Hydroxylysine 3Hyp 3-Hydroxyproline 4Hyp 4-Hydroxyproline Ide Isodesmosine Aile allo-Isoleucine MeGly N-Methylglycine, sarcosine MeIle N-Methylisoleucine MeLys 6-N-Methyllysine MeVal N-Methylvaline Nva Norvaline Nle Norleucine Orn Ornithine

iii) Mimetics

In addition to the variants discussed above, the present inventors also contemplate that structurally similar compounds may be formulated to mimic the key portions of peptide or polypeptides of the present invention. Such compounds, which may be termed peptidomimetics, may be used in the same manner as the peptides of the invention and, hence, also are functional equivalents.

Certain mimetics that mimic elements of protein secondary and tertiary structure are described in Johnson et al. (1993). The underlying rationale behind the use of peptide mimetics is that the peptide backbone of proteins exists chiefly to orient amino acid side chains in such a way as to facilitate molecular interactions, such as those of antibody and/or antigen. A peptide mimetic is thus designed to permit molecular interactions similar to the natural molecule.

Some successful applications of the peptide mimetic concept have focused on mimetics of β-turns within proteins, which are known to be highly antigenic. Likely β-turn structure within a polypeptide can be predicted by computer-based algorithms, as discussed herein. Once the component amino acids of the turn are determined, mimetics can be constructed to achieve a similar spatial orientation of the essential elements of the amino acid side chains.

Other approaches have focused on the use of small, multidisulfide-containing proteins as attractive structural templates for producing biologically active conformations that mimic the binding sites of large proteins (Vita et al., 1998). A structural motif that appears to be evolutionarily conserved in certain toxins is small (30-40 amino acids), stable, and high permissive for mutation. This motif is composed of a beta sheet and an alpha helix bridged in the interior core by three disulfides.

Beta II turns have been mimicked successfully using cyclic L-pentapeptides and those with D-amino acids (Weisshoff et al., 1999). Also, Johannesson et al. (1999) report on bicyclic tripeptides with reverse turn inducing properties.

Methods for generating specific structures have been disclosed in the art. For example, alpha-helix mimetics are disclosed in U.S. Pat. Nos. 5,446,128; 5,710,245; 5,840,833; and 5,859,184. Theses structures render the peptide or protein more thermally stable, also increase resistance to proteolytic degradation. Six, seven, eleven, twelve, thirteen and fourteen membered ring structures are disclosed.

Methods for generating conformationally restricted beta turns and beta bulges are described, for example, in U.S. Pat. Nos. 5,440,013; 5,618,914; and 5,670,155. Beta-turns permit changed side substituents without having changes in corresponding backbone conformation, and have appropriate termini for incorporation into peptides by standard synthesis procedures. Other types of mimetic turns include reverse and gamma turns. Reverse turn mimetics are disclosed in U.S. Pat. Nos. 5,475,085 and 5,929,237, and gamma turn mimetics are described in U.S. Pat. Nos. 5,672,681 and 5,674,976.

C. Fusion Proteins

Another variant is a fusion protein. This molecule generally has all or a substantial portion of the original molecule, in this case a peptide comprising the sequence DHWC (SEQ ID NO:1), linked at the N- or C-terminus, to all or a portion of a second peptide or polypeptide. For example, fusions may employ leader sequences from other species to permit the recombinant expression of a protein in a heterologous host. Another useful fusion includes the addition of a immunologically active domain, such as an antibody epitope, to facilitate purification of the fusion protein. Inclusion of a cleavage site at or near the fusion junction will facilitate removal of the extraneous polypeptide after purification. Other useful fusions include linking of functional domains, such as active sites from enzymes, glycosylation domains, cellular targeting signals or transmembrane regions. Of particular interest are peptide permeant motifs that improve peptides transfer through membranes. Such mofits include those from TAT and R9:

-   -   TAT=RKKRRQRRR (Schwarze et al., 2000; Becker-Hapak et al., 2001;         Denicourt and Dowdy, 2003)     -   R9=RRRRRRRRR (Wender et al., 2000)

There also may be instances where a greater degree of intracellular specificity is desired. For example, with targeting nuclear proteins, RNA, DNA or cellular proteins or nucleic acids that are subsequently processed. Thus, one preferably uses localization sequences for such targets.

Localization sequences have been divided into routing signals, sorting signals, retention or salvage signals and membrane topology-stop transfer signals (Yellon et al., 1992). For example, there are signals to target the endoplasmic reticulum (Munro, et al., 1987), the nucleus (Lanford et al., 1986; Stanton et al., 1986; Harlow et al., 1985), the nucleolar region (Kubota et al., 1989; and Siomi et al., 1988), the endosomal compartment (Bakke et al., 1990), mitochondria (Yellon et al., 1992) and liposomes (Letourneur et al., 1992). One preferred nuclear targeting sequence may be the SV40 nuclear localization signal.

D. Purification of Proteins

It may be desirable to purify MBPs, variants, peptide-mimics or analogs thereof. Protein purification techniques are well known to those of skill in the art. These techniques involve, at one level, the crude fractionation of the cellular milieu to polypeptide and non-polypeptide fractions. Having separated the polypeptide from other proteins, the polypeptide of interest may be further purified using chromatographic and electrophoretic techniques to achieve partial or complete purification (or purification to homogeneity). Analytical methods particularly suited to the preparation of a pure peptide are ion-exchange chromatography, exclusion chromatography; polyacrylamide gel electrophoresis; isoelectric focusing. A particularly efficient method of purifying peptides is fast protein liquid chromatography or even HPLC.

Certain aspects of the present invention concern the purification, and in particular embodiments, the substantial purification, of an encoded protein or peptide. The term “purified protein or peptide” as used herein, is intended to refer to a composition, isolatable from other components, wherein the protein or peptide is purified to any degree relative to its naturally-obtainable state. A purified protein or peptide therefore also refers to a protein or peptide, free from the environment in which it may naturally occur.

Generally, “purified” will refer to a protein or peptide composition that has been subjected to fractionation to remove various other components, and which composition substantially retains its expressed biological activity. Where the term “substantially purified” is used, this designation will refer to a composition in which the protein or peptide forms the major component of the composition, such as constituting about 50%, about 60%, about 70%, about 80%, about 90%, about 95% or more of the proteins in the composition.

Various methods for quantifying the degree of purification of the protein or peptide will be known to those of skill in the art in light of the present disclosure. These include, for example, determining the specific activity of an active fraction, or assessing the amount of polypeptides within a fraction by SDS/PAGE analysis. A preferred method for assessing the purity of a fraction is to calculate the specific activity of the fraction, to compare it to the specific activity of the initial extract, and to thus calculate the degree of purity, herein assessed by a “-fold purification number.” The actual units used to represent the amount of activity will, of course, be dependent upon the particular assay technique chosen to follow the purification and whether or not the expressed protein or peptide exhibits a detectable activity.

Various techniques suitable for use in protein purification will be well known to those of skill in the art. These include, for example, precipitation with ammonium sulphate, PEG, antibodies and the like or by heat denaturation, followed by centrifugation; chromatography steps such as ion exchange, gel filtration, reverse phase, hydroxylapatite and affinity chromatography; isoelectric focusing; gel electrophoresis; and combinations of such and other techniques. As is generally known in the art, it is believed that the order of conducting the various purification steps may be changed, or that certain steps may be omitted, and still result in a suitable method for the preparation of a substantially purified protein or peptide.

There is no general requirement that the protein or peptide always be provided in their most purified state. Indeed, it is contemplated that less substantially purified products will have utility in certain embodiments. Partial purification may be accomplished by using fewer purification steps in combination, or by utilizing different forms of the same general purification scheme. For example, it is appreciated that a cation-exchange column chromatography performed utilizing an HPLC apparatus will generally result in a greater “-fold” purification than the same technique utilizing a low pressure chromatography system. Methods exhibiting a lower degree of relative purification may have advantages in total recovery of protein product, or in maintaining the activity of an expressed protein.

It is known that the migration of a polypeptide can vary, sometimes significantly, with different conditions of SDS/PAGE (Capaldi et al., 1977). It will therefore be appreciated that under differing electrophoresis conditions, the apparent molecular weights of purified or partially purified expression products may vary.

High Performance Liquid Chromatography (HPLC) is characterized by a very rapid separation with extraordinary resolution of peaks. This is achieved by the use of very fine particles and high pressure to maintain an adequate flow rate. Separation can be accomplished in a matter of minutes, or at most an hour. Moreover, only a very small volume of the sample is needed because the particles are so small and close-packed that the void volume is a very small fraction of the bed volume. Also, the concentration of the sample need not be very great because the bands are so narrow that there is very little dilution of the sample.

Gel chromatography, or molecular sieve chromatography, is a special type of partition chromatography that is based on molecular size. The theory behind gel chromatography is that the column, which is prepared with tiny particles of an inert substance that contain small pores, separates larger molecules from smaller molecules as they pass through or around the pores, depending on their size. As long as the material of which the particles are made does not adsorb the molecules, the sole factor determining rate of flow is the size. Hence, molecules are eluted from the column in decreasing size, so long as the shape is relatively constant. Gel chromatography is unsurpassed for separating molecules of different size because separation is independent of all other factors such as pH, ionic strength, temperature, etc. There also is virtually no adsorption, less zone spreading and the elution volume is related in a simple matter to molecular weight.

Affinity Chromatography is a chromatographic procedure that relies on the specific affinity between a substance to be isolated and a molecule that it can specifically bind to. This is a receptor-ligand type interaction. The column material is synthesized by covalently coupling one of the binding partners to an insoluble matrix. The column material is then able to specifically adsorb the substance from the solution. Elution occurs by changing the conditions to those in which binding will not occur (alter pH, ionic strength, temperature, etc.).

A particular type of affinity chromatography useful in the purification of carbohydrate containing compounds is lectin affinity chromatography. Lectins are a class of substances that bind to a variety of polysaccharides and glycoproteins. Lectins are usually coupled to agarose by cyanogen bromide. Conconavalin A coupled to Sepharose was the first material of this sort to be used and has been widely used in the isolation of polysaccharides and glycoproteins other lectins that have been include lentil lectin, wheat germ agglutinin which has been useful in the purification of N-acetyl glucosaminyl residues and Helix pomatia lectin. Lectins themselves are purified using affinity chromatography with carbohydrate ligands. Lactose has been used to purify lectins from castor bean and peanuts; maltose has been useful in extracting lectins from lentils and jack bean; N-acetyl-D galactosamine is used for purifying lectins from soybean; N-acetyl glucosaminyl binds to lectins from wheat germ; D-galactosamine has been used in obtaining lectins from clams and L-fucose will bind to lectins from lotus.

The matrix should be a substance that itself does not adsorb molecules to any significant extent and that has a broad range of chemical, physical and thermal stability. The ligand should be coupled in such a way as to not affect its binding properties. The ligand should also provide relatively tight binding. And it should be possible to elute the substance without destroying the sample or the ligand. One of the most common forms of affinity chromatography is immunoaffinity chromatography. The generation of antibodies that would be suitable for use in accord with the present invention is discussed below.

E. Peptide Synthesis

CaV2.2-related peptides may be generated synthetically for use in various embodiments of the present invention. Because of their relatively small size, the peptides of the invention can be synthesized in solution or on a solid support in accordance with conventional techniques. Various automatic synthesizers are commercially available and can be used in accordance with known protocols. See, for example, Stewart & Young, (1984); Tam et al., (1983); Merrifield, (1986); Barany and Merrifield (1979), each incorporated herein by reference. Short peptide sequences, or libraries of overlapping peptides, usually from about 6 up to about 35 to 50 amino acids, which correspond to the selected regions described herein, can be readily synthesized and then screened in screening assays designed to identify reactive peptides. Alternatively, recombinant DNA technology may be employed wherein a nucleotide sequence which encodes a peptide of the invention is inserted into an expression vector, transformed or transfected into an appropriate host cell and cultivated under conditions suitable for expression.

2. CAV2.2 NUCLEIC ACIDS

Important aspects of the present invention concern isolated DNA segments and recombinant vectors encoding CaV2.2 and peptides thereof, the creation and use of recombinant host cells through the application of DNA technology, that express CaV2.2 or peptides thereof, and biologically functional equivalents thereof. Accession nos. for human and rat CaV2.2 DNA sequences are GI4502522 (SEQ ID NO:10) and GI25453409 (SEQ ID NO:12), respectively.

The present invention concerns DNA segments, isolatable from mammalian cells, such as mouse, rat or human cells, that are free from total genomic DNA and that encode a CaV2.2 polypeptide or peptide. As used herein, the term “DNA segment” refers to a DNA molecule that has been isolated free of total genomic DNA of a particular species. Therefore, a DNA segment encoding CaV2.2 refers to a DNA segment that contains wild-type, polymorphic or mutant CaV2.2 coding sequences yet is isolated away from, or purified free from, total mammalian genomic DNA. Included within the term “DNA segment” are DNA segments and also recombinant vectors, including, for example, plasmids, cosmids, phage, viruses, and the like.

A. CaV2.2 Splice Forms

Human (Williams et al., 1992), chicken (Lu and Dunlap, 1999), and rat (Maximov and Bezprozvanny, 2002) CaV2.2 subunits undergo alternative splicing in the C-terminal region. The results suggest that in mature high density cultures, the long CaV2.2a-NC1 splice variant (CaV2.2a) is the axonal/presynaptic isoform, and the short CaV2.2a-NC2 splice variant (CaV2.2b) is the somatodendritic isoform (Maximov and Bezprozvanny, 2002). Similar to the CaV2.2 subunit, the P/Q-type channel pore-forming subunit CaV2.1 is alternatively spliced at the C termini (Zhuchenko et al., 1997).

The long C-terminal splice variant of CaV2.1a, but not the short splice variants, contains a similar PDZ domainbinding motif (Maximov et al., 1999). The inventors have previously suggested that the N-type and the P/Q-type Ca2⁺ channels are targeted to synapses via interactions with a similar or identical set of adaptor proteins (Maximov and Bezprozvanny, 2002). The also have suggested that an alternative splicing of the CaV2.2 and CaV2.1 subunit C termini provides a potential regulatory mechanism of N-type and P/Q-type Ca2⁺ channel sorting (Maximov and Bezprozvanny, 2002). In the case of P/Q-type Ca2⁺ channels, association of CaV2.1 C terminal with an auxiliary β4 subunit (Walker et al., 1998) may play an additional role in synaptic targeting (Wittemann et al., 2000). It is also possible that truncation of SH3, PDZ, and β4 binding motifs in the CaV2.1 subunit (Fletcher et al., 1996) may lead to mistargeting of P/Q-type Ca2⁺ channels in leaner mice, resulting in severe neurological phenotype.

A recent report suggested the importance of alternative splicing in the CaV2.1 subunit II/III loop region for P/Q-type Ca2⁺ channel sorting between axonal and somatodendritic compartments of GABAergic cortical neurons (Timmermann et al., 2002). Novel II/III splice variants of human CaV2.2 subunit that lack the soluble SNARE-binding synprint site were identified recently (Kaneko et al., 2002). At the moment it is not clear whether alternative splicing of the CaV2.2 and CaV2.1 II/III loop and C-terminal regions are independent or correlated events, and future studies will be needed to answer this question. However, these data suggest that the alternative splicing-dependent sorting of Ca2⁺ channels in neurons may be a general phenomenon.

B. Variants

In particular embodiments, the invention concerns isolated DNA segments and recombinant vectors incorporating DNA sequences that encode a CaV2.2, a peptide, peptide-mimic or a biologically functional equivalent of a CaV2.2. The term “biologically functional equivalent” is well understood in the art and is further defined in detail herein. Accordingly, sequences that have about 70%, about 71%, about 72%, about 73%, about 74%, about 75%, about 76%, about 77%, about 78%, about 79%, about 80%, about 81%, about 82%, about 83%, about 84%, about 85%, about 86%, about 87%, about 88%, about 89%, about 90%, about 91%, about 92%, about 93%, about 94%, about 95%, about 96%, about 97%, about 98%, or about 99%, and any range derivable therein, such as, for example, about 70% to about 80%, and more preferably about 81% and about 90%; or even more preferably, between about 91% and about 99%; of amino acids that are identical or functionally equivalent to the amino acids of SEQ ID NO:1 or any analog or variant thereof provided the biological activity of the protein is maintained. In particular embodiments, the biological activity of a CaV2.2 C-terminal peptide, or a biologically functional equivalent, comprises binding to Mint1.

It will also be understood that amino acid and nucleic acid sequences may include additional residues, such as additional N- or C-terminal amino acids or 5′ or 3′ sequences, and yet still be essentially as set forth in one of the sequences disclosed herein, so long as the sequence meets the criteria set forth above, including the maintenance of biological protein, polypeptide or peptide activity where an amino acid sequence expression is concerned. The addition of terminal sequences particularly applies to nucleic acid sequences that may, for example, include various non-coding sequences flanking either of the 5′ or 3′ portions of the coding region or may include various internal sequences, i.e., introns, which are known to occur within genes.

3. SCREENING ASSAYS

The present invention also contemplates the screening of compounds, e.g., peptides, peptide-mimics, variants, analogs or small molecules, for various abilities to interact with Mint1 and/or affect pain signaling in an animal model of pain. Particularly preferred compounds will be those that mimic the function of the CaV2.2 C-terminal peptide disclosed herein. In the screening assays of the present invention, the candidate substance may first be screened for basic biochemical activity—e.g., binding to a target molecule (e.g., Mint1)—and then tested for its ability to inhibit pain at the whole animal level.

A. Modulators

The present invention provides methods of screening for agents that bind Mint1. In an embodiment, the present invention is directed to a method of:

(a) providing a Mint1, Mint1-PDZ1, Mint2, or Mint2-PDZ1 polypeptide;

(b) contacting the Mint1, Mint1-PDZ1, Mint2, or Mint2-PDZ1 polypeptide with a candidate substance; and

(c) determining the binding of the candidate substance to the Mint1, Mint1-PDZ1, Mint2, or Mint2-PDZ1 polypeptide,

wherein binding to Mint1 identifies the compound as a putative anti-pain agent. Measuring binding to Mint1 may be direct, by identifying a Mint1-candidate complex, by identifying labeled candidate associated with Mint1, or by assessing the inhibition of binding of a peptide comprising SEQ ID NO:1 to Mint1 by the candidate. In still yet other embodiments, one would look at the effect of a candidate on pain in an appropriate model.

As used herein, the term “candidate substance” refers to any molecule that may potentially modulate bind to Mint1 in a manner analogous to a peptide having the sequence of SEQ ID NO:1. The candidate substance may be a peptide, or a small molecule inhibitor, or even a nucleic acid molecule. It may prove to be the case that the most useful pharmacological compounds will be compounds that are structurally related to compounds which interact naturally with Mint1. Creating and examining the action of such molecules is known as “rational drug design,” and include making predictions relating to the structure of target molecules.

The goal of rational drug design is to produce structural analogs of biologically active polypeptides or target compounds. By creating such analogs, it is possible to fashion drugs which are more active or stable than the natural molecules, which have different susceptibility to alteration or which may affect the function of various other molecules. In one approach, one would generate a three-dimensional structure for a molecule like Mint1, and then design a molecule for its ability to interact with Mint1. This could be accomplished by x-ray crystallography, computer modeling or by a combination of both approaches.

It also is possible to use antibodies to ascertain the structure of a target compound or inhibitor. In principle, this approach yields a pharmacore upon which subsequent drug design can be based. An example of such an approach is to use a peptide of SEQ ID NO:1 as a model, and then make modifications that would improve the ability of the molecule to bind Mint1.

On the other hand, one may simply acquire, from various commercial sources, small molecule libraries that are believed to meet the basic criteria for useful drugs in an effort to “brute force” the identification of useful compounds. Screening of such libraries, including combinatorially generated libraries (e.g., peptide libraries), is a rapid and efficient way to screen large number of related (and unrelated) compounds for activity. Combinatorial approaches also lend themselves to rapid evolution of potential drugs by the creation of second, third and fourth generation compounds modeled of active, but otherwise undesirable compounds.

Candidate compounds may include fragments or parts of naturally-occurring compounds or may be found as active combinations of known compounds which are otherwise inactive. It is proposed that compounds isolated from natural sources, such as animals, bacteria, fungi, plant sources, including leaves and bark, and marine samples may be assayed as candidates for the presence of potentially useful pharmaceutical agents. It will be understood that the pharmaceutical agents to be screened could also be derived or synthesized from chemical compositions or man-made compounds. Thus, it is understood that the candidate substance identified by the present invention may be a polypeptide, polynucleotide, small molecule inhibitor or any other compounds that may be designed through rational drug design starting from known inhibitors of hypertrophic response.

It will, of course, be understood that all the screening methods of the present invention are useful in themselves notwithstanding the fact that effective candidates may not be found. The invention provides methods for screening for such candidates, not solely methods of finding them.

B. In Vitro Assays

A quick, inexpensive and easy assay to run is a Mint1 binding assay. Binding of a molecule to Mint1 may, in and of itself, be inhibitory, due to steric, allosteric or charge-charge interactions. This can be performed in solution or on a solid phase and can be utilized as a first round screen to rapidly eliminate certain compounds before moving into more sophisticated screening assays.

The target (e.g., Mint1) may be either free in solution, fixed to a support, expressed in or on the surface of a cell. Either the target or the compound may be labeled, thereby permitting determination of binding. Competitive binding assays can be performed in which a peptide comprising SEQ ID NO:1 is used. The peptide may be labeled, or the candidate may be labeled. One may measure the amount of free label versus bound label to determine binding or inhibition of binding.

A technique for high throughput screening of compounds is described in WO 84/03564. Large numbers of small peptide test compounds are synthesized on a solid substrate, such as plastic pins or some other surface. The peptide test compounds are reacted with, for example, Mint1 and washed. Bound polypeptide is detected by various methods.

To search for small molecule inhibitors of association between CaV2.2 carboxy-terminal and Mint1-PDZ1 domain, the inventors will utilize a variety of different approaches. First, they will synthesize biotinylated CaV2.2a N-type Ca²⁺ channels carboxy-terminal peptide and express Mint1-PDZ1 domain in bacteria as GST-fusion protein. Next, two methods are contemplated for use in high throughput screens—a scintillation-proximity assay (SPA) and a homogeneous time-resolved fluorescence resonance energy transfer assay (HTRF) (see Whitfield et al., 2003). These methods will be used to screen an 8,000 compound subset selected from a compound library available at UT Southwestern HTS facility. SPA and HTRF pilot screens will be optimized to yield Z score (Zhang et al., 1999) of at least 0.5 with the test library of 8,000 compounds. Identified compounds (hits) will be validated in formalin-induced pain model (Malmberg and Yaksh, 1995).

i) Z Score Determination

Pilot studies will provide the inventors with initial information if SPA and/or HTRF assays can be used to analyze association of bio-NC peptide and GST-Mint1-PDZ1 protein. Recently developed simple statistical parameter (Z score) can be used for evaluation of high throughput screens (Zhang et al., 1999). According to Zhang et al. (1999), in order to validate a quality of proposed high throughput screens, one has to calculate a ratio of separation band to the signal dynamic range of the assay. Obtained parameter (Z factor) defines the capability of hit identification for each given high throughput screens at the defined screening conditions.

As a first step of high throughput screen optimization, Zhang et al. (1999) recommend to determine Z′ factor that is calculated similar to Z factor using only control data. The Z′ factor is a characteristic parameter for the quality of assay itself, without intervention of any test compounds. In order to determine Z′ score, the inventors will measure SPA signal or HTRF signal for each well of 3 384 well plates with bio-NC peptide and GST-Mint1-PDZ1 protein. These measurements will be analyzed to yield μ_(C+) (mean positive signal) and σ_(C+) (variablity of positive signal). They will also measure SPA signal or HTRF signal for each well of 3 384 well plates with bio-NC-W2338A peptide and GST-Mint1-PDZ1 protein. As NC-W2338A mutant does not bind to Mint1-PDZ1, these measurements will provide us with μ_(C−) (mean negative signal) and σ_(C−) (variablity of negative signal).

Once these values are obtained, the inventors will calculate Z′ score using formula from (Zhang et al., 1999):

Z′=1−(3σ_(C+)+3σ_(C−))/|μ_(C+)+−μ_(C−)|  (eq 1)

If the inventors obtain Z′>0.5 for SPA and/or HTRF assay, they will proceed with pilot screen using 8,000 test compound library. If Z′<0.5 for either assay, the screen will be optimized to result in Z′>0.5. The optimization steps for SPA assay include optimization of SPA beads concentration, replacement of PVT beads with Ysi beads, optimization of ³⁵S-Streptavidin concentration, optimization of bio-NC peptide and GST-Mint1-PDZ1 protein amounts, dilution of samples prior to SPA counting, changes in incubation time and temperature, change in agitation, etc. The optimization steps for HTRF assay include changes in EuK-anti-GST-mAb and Streptavidin-XL concentrations, changes in number of flashes per well and in HTRF integration time, optimization of bio-NC peptide and GST-Mint1-PDZ1 protein amounts, dilution of samples prior to HTRF counting, changes in incubation time and temperature, change in agitation, etc.

Once Z′>0.5 condition is met, the inventors will fix the assay conditions and perform a pilot screen with the test library of 8,000 compounds (each at 5 μM concentration) and measure SPA signal and/or HTRF signal for each well containing different test compounds mixed with bio-NC peptide and GST-Mint1-PDZ1 protein. The test library of 8,000 compounds is available at UT Southwestern HTS facility. These measurements will be analyzed to yield μ_(S) (mean sample signal) and σ_(S) (variablity of sample signal). As most of test compounds are not expected to disrupt bio-NC peptide association with GST-Mint1-PDZ1 domain, Z-score will be calculated using negative control (bio-NC-W2338A) data as follows (Zhang et al., 1999):

Z=1−(3σ_(S)+3σ_(C−))/|μ_(S)−μ_(C−)|  (eq 2).

Previous HTS screens at UT Southwestern HTS facility with the test library of 8,000 compounds (at 5 μM concentration) resulted in a sample mean within 4% from DMSO control and it is most likely that the HTS screen with Z′>0.5 will yield Z>0.5. If Z>0.5, the inventors can proceed with the complete screen. If Z<0.5, the inventors will need to optimize the concentration of test compounds to yield Z>0.5 but still a resonable “hit rate” (Zhang et al., 1999). The biological activity of the “hits” from the full screen will be tested in formalin-induced pain model (Malmberg and Yaksh, 1995).

ii) Scintillation Proximity Assay

In scintillation-proximity assay (SPA) studies, biotinylated NC peptide (bio-NC) and GST-Mint1-PDZ1 protein will be mixed in SPA buffer (0.2% BSA in PBS) in the presence of 5 μM concentration of tested small molecule compounds in a white 384 well Optiplates (Packard) in a final volume of 25 μl for 1 hour. SPA readout will be initated by addition of Glutathione-PVT SPA beads (RPNQ0030 from Amersham) and ³⁵S-Streptavidin (Amersham SJ436). The plates will be sealed and incubated for 10 min with shaking. Following incubation, the plates will be spun for 5 min at 1,000 g to float PVT SPA beads and the luminescence signal from each well will be determined by CLIPR luminescence plate reader. Association of bio-NC peptide with GST-Mint1-PDZ1 will bring radiolabeled Streptavidin (bio-NC binding partner) in proximity of Glutathione-PVT SPA beads (GST-binding partner), resulting in strong luminescence signal. Control studies will be performed with bio-NC-W2338A peptide instead of bio-NC peptide. NC-W2338A does not bind Mint1-PDZ1 domain and bio-NC-W2338A/GST-Mint1-PDZ1 pair should not result in significant SPA luminescence signal. Results obtained with bio-NC/GST-Mint1-PDZ1 and bio-NC-W2338A/GST-Mint1-PDZ1 pairs will be used to optimize Z′ score (Zhang et al., 1999) of the screen. Following optimization of Z′ score, pilot HTS screen with a library of 8,000 test compounds will be performed and Z score (Zhang et al., 1999) will be optimized. Compounds that reduce luminescence signal by more than 50% will be selected for further evaluation.

iii) Homogenous Time-Resolved Fluorescence Resonance Energy Transfer

The homogeneous time-resolved fluorescence resonance energy transfer (HTRF) studies are based on the FRET energy transfer between caged donor fluorophore with a delayed emission and a neighboring acceptor fluorophore. Excitation of a donor fluorophore by a Xenon flash lamp results in prompt fluorescence. Photons emmited during delayed emission stage are absorbed by an acceptor and result in HTRF signal. HTRF signal is collected during integration time that can be adjusted to yield maximal signal to noise ratio. To further improve signal to noise ratio, multiple flashes can be used to stimulate the same sample.

Bio-NC peptide and GST-Mint1-PDZ1 proteins will be mixed in HTRF buffer (0.2% BSA in PBS, 100 mM KF) in the presence of 5 μM concentration of tested small molecule compounds in a black 384 well plates (Costar) in a final volume of 25 μl for 1 hour. For donor labeling, Eu³⁺ cryptate (EuK) conjugated anti-GST monoclonal antibodies (CIS Bio International, 61GSTKLA) will be added. For acceptor labeling, Streptavidin-XL (Streptavidin conjugated to XL665, 610SAXLA from CIS Bio International) will be added to yield a final volume of 50 μl. The plates will be sealed and incubated for 2 h with shaking in the dark.

Following incubation, HTRF measurements will be taken using LJL Analyst. In these studies, brief Xenon lamp flash will be used for EuK excitation. Prompt EuK fluorescence at 620 nM will be measured for each well on the plate, and then delayed HTRF fluorescence of XL665 at 665 nM will be measured. Time-delayed fluorescence of XL665 will be measured with 50 μs delay after the excitation and 400 μs integration time. Due to 50 μs delay, only the long-lived FRET signal is detected, drastically reducing fluorescence background. The HTRF ratio of A/B counts (665 nm/620 nm), determined for each well, will indicate a dedree of bio-NC peptide association with GST-Mint1-PDZ1 protein.

Control studies will be performed with bio-NC-W2338A peptide instead of bio-NC peptide. Results obtained with bio-NC/GST-Mint1-PDZ1 and bio-NC-W2338A/GST-Mint1-PDZ1 pairs will be used to optimize Z′ score (Zhang et al., 1999) of the screen. Following optimization of Z′ score, pilot HTS screen with a library of 8,000 test compounds will be performed and Z score (Zhang et al., 1999) will be optimized. Compounds that reduce A/B HTRF ratio by more than 50% will be selected for further evaluation.

iv) AlphaScreen Assay

The AlphaScreen signal amplification strategy (Perkin Elemers) involves, as a first step, is the conversion of ambient oxygen to the singlet state by a photosensitizer in the Donor bead upon illumination at 680 nm (FIG. 6). The Acceptor beads contain a thioxene derivative that reacts with the singlet oxygen to generate chemiluminescence at 370 nm. Energy transfer to fluorescent acceptors in the same beads shifts the emission wavelength to 520-620 nm. The half-life of the decay reaction is 0.3 sec, which makes the AlphaScreen fluorescence signal very long lived and allows the technology to operate in time-resolved mode. The short lifetime of singlet oxygen in aqueous solution (˜4 μsec) allows diffusion over a distance up to ˜200 nm (FIG. 6). The ALPHA measurements can be taken using Perkin Elmers Envision

In one example, bio-NC peptide (63, 189, 1000 nM) and GST-Mint1-PDZ1/2 protein (63, 189, 1000 nM) were mixed in ALPHA buffer (Hepes 25 mM pH 7.2; NaCl 100 mM; BSA 0.1%) and incubated for 10 h. Anti-GST acceptor beads (Perkin Elmer) and Streptavidin donor beads (Perkin Elmer) were added. The reaction mixture was incubated for 60 more minutes. As a negative control (63, 189, 1000 nM) of Biotin was used in reaction instead of Bio-NC peptide. The reaction mixtures were aliquoted 50 μl per well in black 384 well plates (Costar) for ALPHA measurements. Measurement parameters include excitation at 680 nm, detection −570 nm; excitation time −180 ms; total measurement time −550 ms.

C. In Cyto Assays

Various cell that express Mint1, Mint1-PDZ1, Mint2, or Mint2-PDZ1 can be utilized for screening of candidate substances. Exemplary cells include, but are not limited to yeast cells, bacterial cells, COS cells, HEK293 cells. Depending on the assay, culture may be required. Labeled candidate substances or competitive inhibitors (a peptide of SEQ ID NO:1) is contacted with the cell and binding assessed. Various readouts for binding of candidate substances to cells may be utilized, including fluorescent microscopy and FACS.

D. In Vivo Assays

The present invention particularly contemplates the use of various animal models. For example, various animal models of pain may be used to determine if the binding of candidate substances to Mint1 (Mint1-PDZ1, Mint2, Mint2-PDZ1) affects the ability of the animal to perceive pain in animal models of pain. Testing of acute (physiological) pain: (hot plate, tail flick, paw pressure), inflammatory models: (carrageenan, formalin), and nerve injury: (sciatic nerve ligation, focal spinal injury) and other models including muscle inflammation and cancer evoked bone pain.

Treatment of these animals with test compounds will involve the administration of the compound, in an appropriate form, to the animal. Administration will be by any route the could be utilized for clinical or non-clinical purposes, including but not limited to oral, nasal, buccal, or even topical. Alternatively, administration may be by oral, sublingual, intratracheal instillation, bronchial instillation, intradermal, subcutaneous, intramuscular, intraperitoneal or intravenous injection. Specifically contemplated are oral administration and systemic intravenous injection.

4. ENGINEERING EXPRESSION CONSTRUCTS

In certain embodiments, the present invention involves either the production of CaV2.2 peptides or the administration of a CaV2.2 nucleic acid to an animal. Such methods both rely upon expression constructs containing a CaV2.2 coding region and the means for its expression, plus elements that permit replication of the constructs. A variety of elements and vector types are discussed below.

A. Selectable Markers

In certain embodiments of the invention, expression constructs of the present invention contain nucleic acid constructs whose expression may be identified in vitro or in vivo by including a marker in the expression construct. Such markers would confer an identifiable change to the cell permitting easy identification of cells containing the expression construct. Usually the inclusion of a drug selection marker aids in cloning and in the selection of transformants. For example, genes that confer resistance to neomycin, puromycin, hygromycin, DHFR, GPT, zeocin and histidinol are useful selectable markers. Alternatively, enzymes such as herpes simplex virus thymidine kinase (tk) may be employed. Immunologic markers also can be employed. The selectable marker employed is not believed to be important, so long as it is capable of being expressed simultaneously with the nucleic acid encoding a gene product. Further examples of selectable markers are well known to one of skill in the art and include reporters such as EGFP, β-gal or chloramphenicol acetyltransferase (CAT).

B. Polyadenylation Signals

One will typically desire to include a polyadenylation signal to effect proper polyadenylation of the transcript. The nature of the polyadenylation signal is not believed to be crucial to the successful practice of the invention, and any such sequence may be employed such as human or bovine growth hormone and SV40 polyadenylation signals. Also contemplated as an element of the expression cassette is a terminator. These elements can serve to enhance message levels and to minimize read through from the cassette into other sequences.

C. Control Regions

Throughout this application, the term “expression construct” is meant to include any type of genetic construct containing a nucleic acid coding for the peptide of interest. The nucleic acid encoding the peptide is under transcriptional control of a promoter. A “promoter” refers to a DNA sequence recognized by the synthetic machinery of the cell, or introduced synthetic machinery, required to initiate the specific transcription of a gene. The phrase “under transcriptional control” means that the promoter is in the correct location and orientation in relation to the nucleic acid to control RNA polymerase initiation.

For the purpose of recombinant production, prokaryotic (bacteria) and lower eukaryotic organisms (yeast) are preferred. Commercial vectors and expression systems, including appropriate host cells and methods for transformation and culture, are well known to those of skill in the art.

In other embodiments, promoters refer to a group of transcriptional control modules that are clustered around the initiation site for RNA polymerase II. Much of the thinking about how promoters are organized derives from analyses of several viral promoters, including those for the HSV thymidine kinase (tk) and SV40 early transcription units. These studies, augmented by more recent work, have shown that promoters are composed of discrete functional modules, each consisting of approximately 7-20 bp of DNA, and containing one or more recognition sites for transcriptional activator or repressor proteins.

At least one module in each promoter functions to position the start site for RNA synthesis. The best known example of this is the TATA box, but in some promoters lacking a TATA box, such as the promoter for the mammalian terminal deoxynucleotidyl transferase gene and the promoter for the SV40 late genes, a discrete element overlying the start site itself helps to fix the place of initiation.

Additional promoter elements regulate the frequency of transcriptional initiation. Typically, these are located in the region 30-110 bp upstream of the start site, although a number of promoters have recently been shown to contain functional elements downstream of the start site as well. The spacing between promoter elements frequently is flexible, so that promoter function is preserved when elements are inverted or moved relative to one another. In the tk promoter, the spacing between promoter elements can be increased to 50 bp apart before activity begins to decline. Depending on the promoter, it appears that individual elements can function either cooperatively or independently to activate transcription.

The particular promoter employed to control the expression of a nucleic acid sequence of interest is not believed to be important, so long as it is capable of directing the expression of the nucleic acid in the targeted cell. Thus, where a human cell is targeted, it is preferable to position the nucleic acid coding region adjacent to and under the control of a promoter that is capable of being expressed in a human cell. Generally speaking, such a promoter might include either a human or viral promoter.

In various embodiments, the human cytomegalovirus (CMV) immediate early gene promoter, the SV40 early promoter, the Rous sarcoma virus long terminal repeat, β-actin, rat insulin promoter and glyceraldehyde-3-phosphate dehydrogenase can be used to obtain high-level expression of the coding sequence of interest. The use of other viral or mammalian cellular or bacterial phage promoters which are well-known in the art to achieve expression of a coding sequence of interest is contemplated as well, provided that the levels of expression are sufficient for a given purpose. By employing a promoter with well-known properties, the level and pattern of expression of the protein of interest following transfection or transformation can be optimized.

Selection of a promoter that is regulated in response to specific physiologic or synthetic signals can permit inducible expression of the product. For example in the case where expression of a transgene, or transgenes when a multicistronic vector is utilized, is toxic to the cells in which the vector is produced in, it may be desirable to prohibit or reduce expression of one or more of the transgenes. Examples of transgenes that may be toxic to the producer cell line are pro-apoptotic and cytokine genes. Several inducible promoter systems are available for production of viral vectors where the transgene product may be toxic.

In some circumstances, it may be desirable to regulate expression of a transgene in a gene therapy vector. For example, different viral promoters with varying strengths of activity may be utilized depending on the level of expression desired. In mammalian cells, the CMV immediate early promoter if often used to provide strong transcriptional activation. Modified versions of the CMV promoter that are less potent have also been used when reduced levels of expression of the transgene are desired. When expression of a transgene in hematopoetic cells is desired, retroviral promoters such as the LTRs from MLV or MMTV are often used. Other viral promoters that may be used depending on the desired effect include SV40, RSV LTR, HIV-1 and HIV-2 LTR, adenovirus promoters such as from the E1A, E2A, or MLP region, AAV LTR, cauliflower mosaic virus, HSV-TK, and avian sarcoma virus.

Similarly tissue specific promoters may be used to effect transcription in specific tissues or cells so as to reduce potential toxicity or undesirable effects to non-targeted tissues. For example, promoters that are selectively active in neuronal tissues, such as dorsal root ganglion (DRG) neurons, nociceptive neurons may find particular utility in accordance with the present invention.

It is envisioned that any of the above promoters alone or in combination with another may be useful according to the present invention depending on the action desired. In addition, this list of promoters should not be construed to be exhaustive or limiting, those of skill in the art will know of other promoters that may be used in conjunction with the promoters and methods disclosed herein.

Enhancers are genetic elements that increase transcription from a promoter located at a distant position on the same molecule of DNA. Enhancers are organized much like promoters. That is, they are composed of many individual elements, each of which binds to one or more transcriptional proteins. The basic distinction between enhancers and promoters is operational. An enhancer region as a whole must be able to stimulate transcription at a distance; this need not be true of a promoter region or its component elements. On the other hand, a promoter must have one or more elements that direct initiation of RNA synthesis at a particular site and in a particular orientation, whereas enhancers lack these specificities. Promoters and enhancers are often overlapping and contiguous, often seeming to have a very similar modular organization.

Below is a list of promoters additional to the tissue specific promoters listed above, cellular promoters/enhancers and inducible promoters/enhancers that could be used in combination with the nucleic acid encoding a gene of interest in an expression construct (Table 2 and Table 3). Additionally, any promoter/enhancer combination (as per the Eukaryotic Promoter Data Base EPDB) could also be used to drive expression of the gene. Eukaryotic cells can support cytoplasmic transcription from certain bacterial promoters if the appropriate bacterial polymerase is provided, either as part of the delivery complex or as an additional genetic expression construct.

TABLE 2 PROMOTER Immunoglobulin Heavy Chain Immunoglobulin Light Chain T-Cell Receptor HLA DQ α and DQ β β-Interferon Interleukin-2 Interleukin-2 Receptor MHC Class II 5 MHC Class II HLA-DRα β-Actin Muscle Creatine Kinase Prealbumin (Transthyretin) Elastase I Metallothionein Collagenase Albumin Gene α-Fetoprotein τ-Globin β-Globin e-fos c-HA-ras Insulin Neural Cell Adhesion Molecule (NCAM) α1-Antitrypsin H2B (TH2B) Histone Mouse or Type I Collagen Glucose-Regulated Proteins (GRP94 and GRP78) Rat Growth Hormone Human Serum Amyloid A (SAA) Troponin I (TN I) Platelet-Derived Growth Factor Duchenne Muscular Dystrophy SV40 Polyoma Retroviruses Papilloma Virus Hepatitis B Virus Human Immunodeficiency Virus Cytomegalovirus Gibbon Ape Leukemia Virus

TABLE 3 Element Inducer MT II Phorbol Ester (TPA) Heavy metals MMTV (mouse mammary tumor Glucocorticoids virus) β-Interferon Poly(rI)X Poly(rc) Adenovirus 5 E2 Ela c-jun Phorbol Ester (TPA), H₂O₂ Collagenase Phorbol Ester (TPA) Stromelysin Phorbol Ester (TPA), IL-1 SV40 Phorbol Ester (TPA) Murine MX Gene Interferon, Newcastle Disease Virus GRP78 Gene A23187 α-2-Macroglobulin IL-6 Vimentin Serum MHC Class I Gene H-2kB Interferon HSP70 Ela, SV40 Large T Antigen Proliferin Phorbol Ester-TPA Tumor Necrosis Factor FMA Thyroid Stimulating Hormone α Thyroid Hormone Gene Insulin E Box Glucose

5. METHODS OF GENE TRANSFER

In order to effect recombinant express of CaV2.2 peptide, it is necessary to transfer the appropriate expression construct into a host cell of interest. Such transfer may employ viral or non-viral methods of gene transfer. This section provides a discussion of methods and compositions of gene transfer.

A. Viral Vector-Mediated Transfer

In one embodiment of the invention, an expression construct comprises a virus or engineered construct derived from a viral genome. The ability of certain viruses to enter cells via receptor-mediated endocytosis and to integrate into host cell genome and express viral genes stably and efficiently have made them attractive candidates for the transfer of foreign genes into mammalian cells (Ridgeway, 1988; Nicolas and Rubenstein, 1988; Baichwal and Sugden, 1986; Temin, 1986). The first viruses used as gene vectors were DNA viruses such as the papovaviruses (simian virus 40, bovine papilloma virus, and polyoma) (Ridgeway, 1988; Baichwal and Sugden, 1986). These have a relatively low capacity for foreign DNA sequences and have a restricted host spectrum. Furthermore, their oncogenic potential and cytopathic effects in permissive cells raise safety concerns. A wide variety of viruses are now used to successfully transfer genetic material to eukaryotic cells.

In certain embodiments, the nucleic acid sequence is incorporated into a viral particle to mediate gene transfer to a cell. Typically, the virus simply will be exposed to the appropriate host cell under physiologic conditions, permitting uptake of the virus. The present methods may be advantageously employed using a variety of viral vectors, as discussed below.

i) Adenovirus

Adenovirus is particularly suitable for use as a gene transfer vector because of its mid-sized DNA genome, ease of manipulation, high titer, wide target-cell range, and high infectivity. The roughly 36 kB viral genome is bounded by 100-200 base pair (bp) inverted terminal repeats (ITR), in which are contained cis-acting elements necessary for viral DNA replication and packaging. The early (E) and late (L) regions of the genome that contain different transcription units are divided by the onset of viral DNA replication.

The E1 region (E1A and E1B) encodes proteins responsible for the regulation of transcription of the viral genome and a few cellular genes. The expression of the E2 region (E2A and E2B) results in the synthesis of the proteins for viral DNA replication. These proteins are involved in DNA replication, late gene expression, and host cell shut off (Renan, 1990). The products of the late genes (L1, L2, L3, L4 and L5), including the majority of the viral capsid proteins, are expressed only after significant processing of a single primary transcript issued by the major late promoter (MLP). The MLP (located at 16.8 map units) is particularly efficient during the late phase of infection, and all the mRNAs issued from this promoter possess a 5′ tripartite leader (TL) sequence which makes them preferred mRNAs for translation.

In order for adenovirus to be optimized for gene therapy, it is necessary to maximize the carrying capacity so that large segments of DNA can be included. It also is very desirable to reduce the toxicity and immunologic reaction associated with certain adenoviral products. The two goals are, to an extent, coterminous in that elimination of adenoviral genes serves both ends. By practice of the present invention, it is possible achieve both these goals while retaining the ability to manipulate the therapeutic constructs with relative ease.

The large displacement of DNA is possible because the cis elements required for viral DNA replication all are localized in the inverted terminal repeats (ITR) (100-200 bp) at either end of the linear viral genome. Plasmids containing ITR's can replicate in the presence of a non-defective adenovirus (Hay et al., 1984). Therefore, inclusion of these elements in an adenoviral vector should permit replication.

In addition, the packaging signal for viral encapsidation is localized between 194-385 bp (0.5-1.1 map units) at the left end of the viral genome (Hearing et al., 1987). This signal mimics the protein recognition site in bacteriophage λ DNA where a specific sequence close to the left end, but outside the cohesive end sequence, mediates the binding to proteins that are required for insertion of the DNA into the head structure. E1 substitution vectors of Ad have demonstrated that a 450 bp (0-1.25 map units) fragment at the left end of the viral genome could direct packaging in 293 cells (Levrero et al., 1991).

Previously, it has been shown that certain regions of the adenoviral genome can be incorporated into the genome of mammalian cells and the genes encoded thereby expressed. These cell lines are capable of supporting the replication of an adenoviral vector that is deficient in the adenoviral function encoded by the cell line. There also have been reports of complementation of replication deficient adenoviral vectors by “helping” vectors, e.g., wild-type virus or conditionally defective mutants.

Replication-deficient adenoviral vectors can be complemented, in trans, by helper virus. This observation alone does not permit isolation of the replication-deficient vectors, however, since the presence of helper virus, needed to provide replicative functions, would contaminate any preparation. Thus, an additional element was needed that would add specificity to the replication and/or packaging of the replication-deficient vector. That element, as provided for in the present invention, derives from the packaging function of adenovirus.

It has been shown that a packaging signal for adenovirus exists in the left end of the conventional adenovirus map (Tibbetts, 1977). Later studies showed that a mutant with a deletion in the E1A (194-358 bp) region of the genome grew poorly even in a cell line that complemented the early (E1A) function (Hearing and Shenk, 1983). When a compensating adenoviral DNA (0-353 bp) was recombined into the right end of the mutant, the virus was packaged normally. Further mutational analysis identified a short, repeated, position-dependent element in the left end of the Ad5 genome. One copy of the repeat was found to be sufficient for efficient packaging if present at either end of the genome, but not when moved towards the interior of the Ad5 DNA molecule (Hearing et al., 1987).

By using mutated versions of the packaging signal, it is possible to create helper viruses that are packaged with varying efficiencies. Typically, the mutations are point mutations or deletions. When helper viruses with low efficiency packaging are grown in helper cells, the virus is packaged, albeit at reduced rates compared to wild-type virus, thereby permitting propagation of the helper. When these helper viruses are grown in cells along with virus that contains wild-type packaging signals, however, the wild-type packaging signals are recognized preferentially over the mutated versions. Given a limiting amount of packaging factor, the virus containing the wild-type signals are packaged selectively when compared to the helpers. If the preference is great enough, stocks approaching homogeneity should be achieved.

ii) Retrovirus

The retroviruses are a group of single-stranded RNA viruses characterized by an ability to convert their RNA to double-stranded DNA in infected cells by a process of reverse-transcription (Coffin, 1990). The resulting DNA then stably integrates into cellular chromosomes as a provirus and directs synthesis of viral proteins. The integration results in the retention of the viral gene sequences in the recipient cell and its descendants. The retroviral genome contains three genes—gag, pol and env—that code for capsid proteins, polymerase enzyme, and envelope components, respectively. A sequence found upstream from the gag gene, termed Ψ, functions as a signal for packaging of the genome into virions. Two long terminal repeat (LTR) sequences are present at the 5′ and 3′ ends of the viral genome. These contain strong promoter and enhancer sequences and also are required for integration in the host cell genome (Coffin, 1990).

In order to construct a retroviral vector, a nucleic acid encoding a promoter is inserted into the viral genome in the place of certain viral sequences to produce a virus that is replication-defective. In order to produce virions, a packaging cell line containing the gag, pol and env genes but without the LTR and Ψ components is constructed (Mann et al., 1983). When a recombinant plasmid containing a human cDNA, together with the retroviral LTR and Ψ sequences is introduced into this cell line (by calcium phosphate precipitation for example), the Ψ sequence allows the RNA transcript of the recombinant plasmid to be packaged into viral particles, which are then secreted into the culture media (Nicolas and Rubenstein, 1988; Temin, 1986; Mann et al., 1983). The media containing the recombinant retroviruses is collected, optionally concentrated, and used for gene transfer. Retroviral vectors are able to infect a broad variety of cell types. However, integration and stable expression of many types of retroviruses require the division of host cells (Paskind et al., 1975).

An approach designed to allow specific targeting of retrovirus vectors recently was developed based on the chemical modification of a retrovirus by the chemical addition of galactose residues to the viral envelope. This modification could permit the specific infection of cells such as hepatocytes via asialoglycoprotein receptors, should this be desired.

A different approach to targeting of recombinant retroviruses was designed in which biotinylated antibodies against a retroviral envelope protein and against a specific cell receptor were used. The antibodies were coupled via the biotin components by using streptavidin (Roux et al., 1989). Using antibodies against major histocompatibility complex class I and class II antigens, the infection of a variety of human cells that bore those surface antigens was demonstrated with an ecotropic virus in vitro (Roux et al., 1989).

iii) Adeno-Associated Virus

AAV utilizes a linear, single-stranded DNA of about 4700 base pairs. Inverted terminal repeats flank the genome. Two genes are present within the genome, giving rise to a number of distinct gene products. The first, the cap gene, produces three different virion proteins (VP), designated VP-1, VP-2 and VP-3. The second, the rep gene, encodes four non-structural proteins (NS). One or more of these rep gene products is responsible for transactivating AAV transcription.

The three promoters in AAV are designated by their location, in map units, in the genome. These are, from left to right, p5, p19 and p40. Transcription gives rise to six transcripts, two initiated at each of three promoters, with one of each pair being spliced. The splice site, derived from map units 42-46, is the same for each transcript. The four non-structural proteins apparently are derived from the longer of the transcripts, and three virion proteins all arise from the smallest transcript.

AAV is not associated with any pathologic state in humans. Interestingly, for efficient replication, AAV requires “helping” functions from viruses such as herpes simplex virus I and II, cytomegalovirus, pseudorabies virus and, of course, adenovirus. The best characterized of the helpers is adenovirus, and many “early” functions for this virus have been shown to assist with AAV replication. Low level expression of AAV rep proteins is believed to hold AAV structural expression in check, and helper virus infection is thought to remove this block.

The terminal repeats of the AAV vector can be obtained by restriction endonuclease digestion of AAV or a plasmid such as p201, which contains a modified AAV genome (Samulski et al., 1987), or by other methods known to the skilled artisan, including but not limited to chemical or enzymatic synthesis of the terminal repeats based upon the published sequence of AAV. The ordinarily skilled artisan can determine, by well-known methods such as deletion analysis, the minimum sequence or part of the AAV ITRs which is required to allow function, i.e., stable and site-specific integration. The ordinarily skilled artisan also can determine which minor modifications of the sequence can be tolerated while maintaining the ability of the terminal repeats to direct stable, site-specific integration.

AAV-based vectors have proven to be safe and effective vehicles for gene delivery in vitro, and these vectors are being developed and tested in pre-clinical and clinical stages for a wide range of applications in potential gene therapy, both ex vivo and in vivo (Carter and Flotte, 1996; Chatterjee et al., 1995; Ferrari et al., 1996; Fisher et al., 1996; Flotte et al., 1993; Goodman et al., 1994; Kaplitt et al., 1994; 1996, Kessler et al., 1996; Koeberl et al., 1997; Mizukami et al., 1996).

AAV-mediated efficient gene transfer and expression in the lung has led to clinical trials for the treatment of cystic fibrosis (Flotte and Carter, 1995; Flotte et al., 1993). Similarly, the prospects for treatment of muscular dystrophy by AAV-mediated gene delivery of the dystrophin gene to skeletal muscle, of Parkinson's disease by tyrosine hydroxylase gene delivery to the brain, of hemophilia B by Factor IX gene delivery to the liver, and potentially of myocardial infarction by vascular endothelial growth factor gene to the heart, appear promising since AAV-mediated transgene expression in these organs has recently been shown to be highly efficient (Fisher et al., 1996; Flotte et al., 1993; Kaplitt et al., 1994; 1996; Koeberl et al., 1997; McCown et al., 1996; Ping et al., 1996; Xiao et al., 1996).

iv) Other Viral Vectors

Other viral vectors may be employed as expression constructs in the present invention. Vectors derived from viruses such as vaccinia virus (Ridgeway, 1988; Baichwal and Sugden, 1986; Coupar et al., 1988) canary pox virus, and herpes viruses may be employed. These viruses offer several features for use in gene transfer into various mammalian cells.

B. Non-Viral Transfer

Several non-viral methods for the transfer of expression constructs into cells are contemplated by the present invention. These include calcium phosphate precipitation (Graham and Van Der Eb, 1973; Chen and Okayama, 1987; Rippe et al., 1990) DEAE-dextran (Gopal, 1985), electroporation (Tur-Kaspa et al., 1986; Potter et al., 1984), direct microinjection (Harland and Weintraub, 1985), DNA-loaded liposomes (Nicolau and Sene, 1982; Fraley et al., 1979), cell sonication (Fechheimer et al., 1987), gene bombardment using high velocity microprojectiles (Yang et al., 1990), and receptor-mediated transfection (Wu and Wu, 1987; Wu and Wu, 1988).

Once the construct has been delivered into the cell the nucleic acid encoding the therapeutic gene may be positioned and expressed at different sites. In certain embodiments, the nucleic acid encoding the therapeutic gene may be stably integrated into the genome of the cell. This integration may be in the cognate location and orientation via homologous recombination (gene replacement) or it may be integrated in a random, non-specific location (gene augmentation). In yet further embodiments, the nucleic acid may be stably maintained in the cell as a separate, episomal segment of DNA. Such nucleic acid segments or “episomes” encode sequences sufficient to permit maintenance and replication independent of or in synchronization with the host cell cycle. How the expression construct is delivered to a cell and where in the cell the nucleic acid remains is dependent on the type of expression construct employed.

In a particular embodiment of the invention, the expression construct may be entrapped in a liposome. Liposomes are vesicular structures characterized by a phospholipid bilayer membrane and an inner aqueous medium. Multilamellar liposomes have multiple lipid layers separated by aqueous medium. They form spontaneously when phospholipids are suspended in an excess of aqueous solution. The lipid components undergo self-rearrangement before the formation of closed structures and entrap water and dissolved solutes between the lipid bilayers (Ghosh and Bachhawat, 1991). The addition of DNA to cationic liposomes causes a topological transition from liposomes to optically birefringent liquid-crystalline condensed globules (Radler et al., 1997). These DNA-lipid complexes are potential non-viral vectors for use in gene therapy.

Liposome-mediated nucleic acid delivery and expression of foreign DNA in vitro has been very successful. Using the β-lactamase gene, Wong et al., (1980) demonstrated the feasibility of liposome-mediated delivery and expression of foreign DNA in cultured chick embryo, HeLa, and hepatoma cells. Nicolau et al., (1987) accomplished successful liposome-mediated gene transfer in rats after intravenous injection. Also included are various commercial approaches involving “lipofection” technology.

In certain embodiments of the invention, the liposome may be complexed with a hemagglutinating virus (HVJ). This has been shown to facilitate fusion with the cell membrane and promote cell entry of liposome-encapsulated DNA (Kaneda et al., 1989). In other embodiments, the liposome may be complexed or employed in conjunction with nuclear nonhistone chromosomal proteins (HMG-1) (Kato et al., 1991). In yet further embodiments, the liposome may be complexed or employed in conjunction with both HVJ and HMG-1. In that such expression constructs have been successfully employed in transfer and expression of nucleic acid in vitro and in vivo, then they are applicable for the present invention.

Other vector delivery systems which can be employed to deliver a nucleic acid encoding a therapeutic gene into cells are receptor-mediated delivery vehicles. These take advantage of the selective uptake of macromolecules by receptor-mediated endocytosis in almost all eukaryotic cells. Because of the cell type-specific distribution of various receptors, the delivery can be highly specific (Wu and Wu, 1993).

Receptor-mediated gene targeting vehicles generally consist of two components: a cell receptor-specific ligand and a DNA-binding agent. Several ligands have been used for receptor-mediated gene transfer. The most extensively characterized ligands are asialoorosomucoid (ASOR) (Wu and Wu, 1987) and transferring (Wagner et al., 1990). Recently, a synthetic neoglycoprotein, which recognizes the same receptor as ASOR, has been used as a gene delivery vehicle (Ferkol et al., 1993; Perales et al., 1994) and epidermal growth factor (EGF) has also been used to deliver genes to squamous carcinoma cells (Myers, EPO 0273085).

In other embodiments, the delivery vehicle may comprise a ligand and a liposome. For example, Nicolau et al., (1987) employed lactosyl-ceramide, a galactose-terminal asialganglioside, incorporated into liposomes and observed an increase in the uptake of the insulin gene by hepatocytes. Thus, it is feasible that a nucleic acid encoding a therapeutic gene also may be specifically delivered into a cell type such as prostate, epithelial or tumor cells, by any number of receptor-ligand systems with or without liposomes. For example, the human prostate-specific antigen (Watt et al., 1986) may be used as the receptor for mediated delivery of a nucleic acid in prostate tissue.

In another embodiment of the invention, the expression construct may simply consist of naked recombinant DNA or plasmids. Transfer of the construct may be performed by any of the methods mentioned above which physically or chemically permeabilize the cell membrane. This is applicable particularly for transfer in vitro, however, it may be applied for in vivo use as well. Dubensky et al., (1984) successfully injected polyomavirus DNA in the form of CaPO₄ precipitates into liver and spleen of adult and newborn mice demonstrating active viral replication and acute infection. Benvenisty and Neshif (1986) also demonstrated that direct intraperitoneal injection of CaPO₄ precipitated plasmids results in expression of the transfected genes. It is envisioned that DNA encoding a CAM also may be transferred in a similar manner in vivo and express CAM.

Another embodiment of the invention for transferring a naked DNA expression construct into cells may involve particle bombardment. This method depends on the ability to accelerate DNA coated microprojectiles to a high velocity allowing them to pierce cell membranes and enter cells without killing them (Klein et al., 1987). Several devices for accelerating small particles have been developed. One such device relies on a high voltage discharge to generate an electrical current, which in turn provides the motive force (Yang et al., 1990). The microprojectiles used have consisted of biologically inert substances such as tungsten or gold beads.

6. METHODS OF TREATING PAIN

The present invention also contemplates method of inhibiting pain using peptides or mimetics of the carboxy-terminus of CaV2.2. Binding of such agents to Mint1 has now been shown to reduce pain in vivo. Thus, it is contemplated that the administration of CaV2.2 or mimetics into subjects will reduce or even prevent pain.

As discussed above, pain can be essentially divided into 2 broad categories: physiological pain and pathological pain. Physiological pain is good for the organism in that it is protective. To prevent damage to tissue, physiological pain pathways are activated by noxious stimulation. Physiological pain must only be controlled under specific clinical situations, such as during surgery, medical procedures, or following trauma. Drugs that chronically disable pathways that transmit physiological pain are undesirable as they cause the organism to lose the protective function of pain. Pathological pain, on the other hand, is not the result of a noxious stimulation or healing tissue. Pathological pain originates from abnormal function of the nervous system due to nerve lesion or compression, neuropathy, tumor growth, or tissue inflammation. Current therapeutics that are used for the treatment of pathological pain are typically limited by serious side effects and the development of tolerance.

A. Physiological Pain

The sensory experience of physiological (acute) pain caused by a noxious stimulus is mediated by a specialized high-threshold sensory system. This system extends from the periphery through the spinal cord, brain stem and thalamus to the cerebral cortex where the sensation is perceived. A withdrawal response is initiated to prevent tissue damage. Physiological pain is a vital sensation and is associated with survival of the organism.

B. Inflammatory Pain

If tissue damage occurs in spite of the protection rendered by the physiological pain system (i.e., via trauma, surgery, or inflammatory disease), the body shifts from protecting against noxious stimulation to promoting the healing of injured tissue. Inflammatory pain helps to achieve this goal by increasing sensitivity to stimuli that are not normally painful (hyperalgesia). By having a heightened perception of pain, the organism limits movement and enables healing. When the inflammation is reduced, pain dissapates. In the case of chronic inflammation (e.g., rheumatoid arthritis), however, pain states inflammatory pain persists. Cancer pain can sometimes fit into this pain category as some tumors will release inflammatory mediators that serve to sensitive nerves in the surrounding tissue.

C. Neuropathic Pain

Neuropathic pain may result from lesions to the peripheral nervous system, as in patients with diabetes, post-herpetic neuralgias, AIDS, or in patients with spinal cord injuries. Cancer pain can fit into the category of neuropathic pain if tumor growth creates nerve impingements.

D. Genetic Based Therapies

Specifically, the present inventors intend to provide, to a cell, an expression construct that expresses a CaV2.2 peptide or variant thereof. The lengthy discussion of expression vectors and the genetic elements employed therein is incorporated into this section by reference. Particularly preferred expression vectors are viral vectors such as adenovirus, adeno-associated virus, herpesvirus, vaccinia virus and retrovirus. Also preferred is liposomally-encapsulated expression vector.

Those of skill in the art are well aware of how to apply gene delivery to in vivo and ex vivo situations. For viral vectors, one generally will prepare a viral vector stock. Depending on the kind of virus and the titer attainable, one will deliver 1×10⁴, 1×10⁵, 1×10⁶, 1×1×10⁸, 1×10⁹, 1×10¹⁰, 1×10¹¹ or 1×10¹² infectious particles to the patient. Similar figures may be extrapolated for liposomal or other non-viral formulations by comparing relative uptake efficiencies. Formulation as a pharmaceutically acceptable composition is discussed below.

E. Protein Therapy

Another therapy approach is the provision, to a subject, of CaV2.2 peptides, synthetic or recombinant, or variants, mimetics or analogs thereof. Formulations would be selected based on the route of administration and purpose including, but not limited to, parenteral formulations, topical formulations, liposomal formulations and classic pharmaceutical preparations for oral administration.

F. Combined Therapy

In order to increase the effectiveness of CaV2.2 peptides or mimics or analogs thereof, it may be desirable to combine these compositions with another agent effective in the treatment of pain. The terms “contacted” and “exposed,” when applied to a cell, tissue or organism, are used herein to describe the process by which a CaV2.2 peptide or mimic or analog and/or another anti-pain agent are delivered to a target cell, tissue or organism or are placed in direct juxtaposition with the target cell, tissue or organism. Anti-pain agents include, but are not limited to, steroids, NSAIDS (COX-2 inhibitors, salicylates, indoleacetic acid derivatives, fenamates, benzothiazine derivatives, pyrrolacetic acids), and analgesics & opiods (lidocaine, morphine, fentanyl, midazolam, propofol, lorazepam, haloperidol, thiopental, pentobarbital, diazepam).

The CaV2.2 peptide or mimic or analog may precede, be co-current with and/or follow the other agent(s) by intervals ranging from minutes to weeks. In embodiments where the CaV2.2 peptide or mimic or analog, and other agent(s) are applied separately to a cell, tissue or organism, one would generally ensure that a significant period of time did not expire between the time of each delivery, such that the peptide and agent(s) would still be able to exert an advantageously combined effect on the cell, tissue or organism. For example, in such instances, it is contemplated that one may contact the cell, tissue or organism with two, three, four or more modalities substantially simultaneously (i.e., within less than about a minute) as the CaV2.2 peptide or mimic or analog. In other aspects, one or more agents may be administered within of from substantially simultaneously, about 1 minute, about 5 minutes, about 10 minutes, about 20 minutes about 30 minutes, about 45 minutes, about 60 minutes, about 2 hours, about 3 hours, about 4 hours, about 5 hours, about 6 hours, about 7 hours about 8 hours, about 9 hours, about 10 hours, about 11 hours, about 12 hours, about 18 hours, about 24 hours, about 36 hours, about 48 hours, about 3 days, about 4 days, about 5 days, about 6 days, about 7 days, about 8 days, about 9 days, about 10 days, about 11 days, about 12 days, about 13 days, about 14 days, about 21 days, about 4 weeks, about 5 weeks, about 6 weeks, about 7 week or about 8 weeks or more, and any range derivable therein, prior to and/or after administering the CaV2.2 peptide or mimic or analog.

Various combination regimens of the CaV2.2 treatment and one or more other anti-pain agents may be employed. Non-limiting examples of such combinations are shown below, wherein a CaV2.2 composition is “A” and the other anti-pain agent is “B”:

A/B/A B/A/B B/B/A A/A/B A/B/B B/A/A A/B/B/B B/A/B/B B/B/B/A B/B/A/B A/A/B/B A/B/A/B A/B/B/A B/B/A/A B/A/B/A B/A/A/B A/A/A/B B/A/A/A A/B/A/A A/A/B/A Administration of the CaV2.2 composition to a cell, tissue or organism may follow general protocols for the administration of pharmaceuticals, taking into account the toxicity, if any. It is expected that the treatment cycles would be repeated as necessary. In particular embodiments, it is contemplated that various additional agents may be applied in any combination with the present invention.

G. Pharmaceutical Formulations

Pharmaceutical formulations of the present invention comprise an effective amount of a CaV2.2 agent dissolved or dispersed in a pharmaceutically acceptable carrier. The phrases “pharmaceutical or pharmacologically acceptable” refer to compositions that do not produce an adverse, allergic or other untoward reaction when administered to an animal, such as, for example, a human, as appropriate. The preparation of such pharmaceutical compositions are known to those of skill in the art in light of the present disclosure, as exemplified by Remington's Pharmaceutical Sciences, 18th Ed. Mack Printing Company, 1990, incorporated herein by reference. Moreover, for animal (e.g., human) administration, it will be understood that preparations should meet sterility, pyrogenicity, general safety and purity standards as required by FDA Office of Biological Standards.

As used herein, “pharmaceutically acceptable carrier” includes any and all solvents, dispersion media, coatings, surfactants, antioxidants, preservatives (e.g., antibacterial agents, antifungal agents), isotonic agents, absorption delaying agents, salts, preservatives, drugs, drug stabilizers, gels, binders, excipients, disintegration agents, lubricants, sweetening agents, flavoring agents, dyes, such like materials and combinations thereof, as would be known to one of ordinary skill in the art. Except insofar as any conventional carrier is incompatible with the active ingredient, its use in the therapeutic or pharmaceutical compositions is contemplated.

The pharmaceuticals of the present invention may comprise different types of carriers depending on whether it is to be administered in solid, liquid or aerosol form, and whether it need to be sterile for such routes of administration as injection. The present invention can be administered intravenously, intradermally, intraarterially, intraperitoneally, intralesionally, intracranially, intraarticularly, intraprostaticaly, intrapleurally, intratracheally, intranasally, intravitreally, intravaginally, intrarectally, topically, intramuscularly, intraperitoneally, subcutaneously, subconjunctival, intravesicularlly, mucosally, intrapericardially, intraumbilically, intraocularally, orally, topically, locally, inhalation (e.g., aerosol), injection, infusion, continuous infusion, localized perfusion bathing target cells directly, via a catheter, via a lavage, in cremes, in lipid compositions (e.g., liposomes), or by other method or any combination of the forgoing as would be known to one of ordinary skill in the art.

The actual dosage amount of a composition of the present invention administered to an animal patient can be determined by physical and physiological factors such as body weight, severity of condition, the type of disease being treated, previous or concurrent therapeutic interventions, idiopathy of the patient and on the route of administration. The practitioner responsible for administration will, in any event, determine the concentration of active ingredient(s) in a composition and appropriate dose(s) for the individual subject.

In certain embodiments, pharmaceutical compositions may comprise, for example, at least about 0.1% of an active compound. In other embodiments, the an active compound may comprise between about 2% to about 75% of the weight of the unit, or between about 25% to about 60%, for example, and any range derivable therein. In other non-limiting examples, a dose may also comprise from about 1 microgram/kg/body weight, about 5 microgram/kg/body weight, about 10 microgram/kg/body weight, about 50 microgram/kg/body weight, about 100 microgram/kg/body weight, about 200 microgram/kg/body weight, about 350 microgram/kg/body weight, about 500 microgram/kg/body weight, about 1 milligram/kg/body weight, about 5 milligram/kg/body weight, about 10 milligram/kg/body weight, about 50 milligram/kg/body weight, about 100 milligram/kg/body weight, about 200 milligram/kg/body weight, about 350 milligram/kg/body weight, about 500 milligram/kg/body weight, to about 1000 mg/kg/body weight or more per administration, and any range derivable therein. In non-limiting examples of a derivable range from the numbers listed herein, a range of about 5 mg/kg/body weight to about 100 mg/kg/body weight, about 5 microgram/kg/body weight to about 500 milligram/kg/body weight, etc., can be administered, based on the numbers described above.

In any case, the composition may comprise various antioxidants to retard oxidation of one or more component. Additionally, the prevention of the action of microorganisms can be brought about by preservatives such as various antibacterial and antifungal agents, including but not limited to parabens (e.g., methylparabens, propylparabens), chlorobutanol, phenol, sorbic acid, thimerosal or combinations thereof.

The pharmaceuticals may be formulated into a composition in a free base, neutral or salt form. Pharmaceutically acceptable salts, include the acid addition salts, e.g., those formed with the free amino groups of a proteinaceous composition, or which are formed with inorganic acids such as for example, hydrochloric or phosphoric acids, or such organic acids as acetic, oxalic, tartaric or mandelic acid. Salts formed with the free carboxyl groups can also be derived from inorganic bases such as for example, sodium, potassium, ammonium, calcium or ferric hydroxides; or such organic bases as isopropylamine, trimethylamine, histidine or procaine.

In embodiments where the composition is in a liquid form, a carrier can be a solvent or dispersion medium comprising but not limited to, water, ethanol, polyol (e.g. glycerol, propylene glycol, liquid polyethylene glycol, etc.), lipids (e.g., triglycerides, vegetable oils, liposomes) and combinations thereof. The proper fluidity can be maintained, for example, by the use of a coating, such as lecithin; by the maintenance of the required particle size by dispersion in carriers such as, for example liquid polyol or lipids; by the use of surfactants such as, for example hydroxypropylcellulose; or combinations thereof such methods. In many cases, it will be preferable to include isotonic agents, such as, for example, sugars, sodium chloride or combinations thereof.

In certain embodiments, the compositions are prepared for administration by such routes as oral ingestion. In these embodiments, the solid composition may comprise, for example, solutions, suspensions, emulsions, tablets, pills, capsules (e.g., hard or soft shelled gelatin capsules), sustained release formulations, buccal compositions, troches, elixirs, suspensions, syrups, wafers, or combinations thereof. Oral compositions may be incorporated directly with the food of the diet. Preferred carriers for oral administration comprise inert diluents, assimilable edible carriers or combinations thereof. In other aspects of the invention, the oral composition may be prepared as a syrup or elixir. A syrup or elixir, and may comprise, for example, at least one active agent, a sweetening agent, a preservative, a flavoring agent, a dye, a preservative, or combinations thereof.

In certain preferred embodiments an oral composition may comprise one or more binders, excipients, disintegration agents, lubricants, flavoring agents, and combinations thereof. In certain embodiments, a composition may comprise one or more of the following: a binder, such as, for example, gum tragacanth, acacia, cornstarch, gelatin or combinations thereof; an excipient, such as, for example, dicalcium phosphate, mannitol, lactose, starch, magnesium stearate, sodium saccharine, cellulose, magnesium carbonate or combinations thereof; a disintegrating agent, such as, for example, corn starch, potato starch, alginic acid or combinations thereof; a lubricant, such as, for example, magnesium stearate; a sweetening agent, such as, for example, sucrose, lactose, saccharin or combinations thereof; a flavoring agent, such as, for example peppermint, oil of wintergreen, cherry flavoring, orange flavoring, etc.; or combinations thereof the foregoing. When the dosage unit form is a capsule, it may contain, in addition to materials of the above type, carriers such as a liquid carrier. Various other materials may be present as coatings or to otherwise modify the physical form of the dosage unit. For instance, tablets, pills, or capsules may be coated with shellac, sugar or both.

Sterile injectable solutions are prepared by incorporating the active compounds in the required amount in the appropriate solvent with various of the other ingredients enumerated above, as required, followed by filtered sterilization. Generally, dispersions are prepared by incorporating the various sterilized active ingredients into a sterile vehicle which contains the basic dispersion medium and/or the other ingredients. In the case of sterile powders for the preparation of sterile injectable solutions, suspensions or emulsion, the preferred methods of preparation are vacuum-drying or freeze-drying techniques which yield a powder of the active ingredient plus any additional desired ingredient from a previously sterile-filtered liquid medium thereof. The liquid medium should be suitably buffered if necessary and the liquid diluent first rendered isotonic prior to injection with sufficient saline or glucose. The preparation of highly concentrated compositions for direct injection is also contemplated, where the use of DMSO as solvent is envisioned to result in extremely rapid penetration, delivering high concentrations of the active agents to a small area.

The composition must be stable under the conditions of manufacture and storage, and preserved against the contaminating action of microorganisms, such as bacteria and fungi. It will be appreciated that endotoxin contamination should be kept minimally at a safe level, for example, less that 0.5 ng/mg protein.

In particular embodiments, prolonged absorption of an injectable composition can be brought about by the use in the compositions of agents delaying absorption, such as, for example, aluminum monostearate, gelatin or combinations thereof.

7. EXAMPLES

The following examples are included to demonstrate preferred embodiments of the invention. It should be appreciated by those of skill in the art that the techniques disclosed in the examples which follow represent techniques discovered by the inventor to function well in the practice of the invention, and thus can be considered to constitute preferred modes for its practice. However, those of skill in the art should, in light of the present disclosure, appreciate that many changes can be made in the specific embodiments which are disclosed and still obtain a like or similar result without departing from the spirit and scope of the invention.

Example 1 Materials and Methods

First, animals are injected with a 10 μM (20 μl) solution of the test compound (dissolved in PBS) in the dorsal surface of the hindpaw. One hour following the injection of the test compound, animals receive a formalin injection (20 μl of a 5% solution) into the dorsal surface of the hindpaw. The contralateral paw is not injected. Following injection, animals are immediately transferred to a plexiglass observation cage. Each animal is observed for a total of 60 minutes following formalin injection. The period spent biting, scratching, or licking the injected hindpaw is recorded (pain score). Data is presented as cumulative time spent biting, scratching, and licking in phase I (0-10 min) and phase II (11-60 min).

Example 2 Results

One hour following delivery of either saline (control) or R9-NC into the dorsum of the hindpaw, formalin (20 μl of a 5% solution) was injected into the same hindpaw. No effect of R9-NC on phase I of the formalin assay was observed. (FIG. 1B) In contrast, a significant reduction of phase II of the formalin assay in the R9-NC treated group was observed when compared to the control group. (FIG. 1B) These data indicate that R9-NC does not alter physiological pain (phase I), but it does block pain that is produced by central sensitization (phase II). Additionally, no untoward side effect of the R9-NC was observed when injected in the hindpaw.

As is shown in FIG. 2, the peptide R9-QDHWC (full sequence RRRRRRRRRQDHWC; SEQ ID NO_also inhibits phage II but not phase I responses in the rat formalin model. Male Sprague Dawley rats (175-225 gm) received a tail vein injection of either PBS, R9 (1 mM), or R9-QDHWC (1 mM) following which they were placed in a plexiglass observation chamber to allow for acclimation. Thirty minutes following the tail vein injection, the dorsal surface of one hind paw was injected with 50 ul of a 5% formalin solution. Observers, blind to drug treatment, scored the number of biting, licking, and scratching behaviors of the injected hindlimb and paw. Data were analyzed with SigmaStat Software (SPSS, Inc. v. 2.03) using ANOVA followed by a Tukey post hoc analysis.

No significant differences between any group were observed during phase I of the formalin assay [F(_(2,16))=0.691 p>0.5]. In contrast, there was a significant reduction in formalin induced phase II behaviors in the R9-QDHWC treated animals when compared to the PBS treated rats [F(_(2,17))=4.815 p=0.007]. PBS vs R9 for phase II was not significantly different (n·s) and p=0.744. Further, delivery of the peptide to rats had no apparent adverse effects.

An FM1-43 imaging was used to study synaptic effects of R9-QDHWC competitive peptide that corresponds to Mint-PDZ binding site on Ca_(v)2.2 subunit. In these experiments we adapted double-staining protocol from (Reuter, 1995). First the mature hippocampal neuronal cultures were stained with FM1-43 dye for 90 sec in the presence of 47 mM KCl (FIG. 3, top). Following staining and washout of the dye (10 min) the neurons were stimulated by 90 mM KCl and the initial rate of destaining (d1) was measured at each puncta (FIG. 3, top). After completion of the first destaining protocol, the same neuronal culture was re-stained with FM1-43 for 90 sec in the presence of 47 mM KCl. Following re-staining and washout of the dye (10 min), neurons were incubated with 50 μM of R9-QDHWC or R9 peptides for 15 min. The control group of neurons was incubated for 15 min with addition of PBS. Following loading with R9 peptides, neurons were washed for 10 min and subjected to 90 mM KCl stimulation. The initial rate of destaining (d2) was once again measured at each puncta (FIG. 3, top).

To compare the results obtained during first and second destaining protocols and to minimize puncta-to-puncta variability, the inventors calculated the d2/d1 ratios for each puncta. They found that, for control and R9-loaded neurons, the average d2/d1 ratio was equal to 0.6±0.2 (n=30) and 0.55±0.15 (n=28), respectively (FIGS. 3A, 3B, 3D), but for R9-QDHWC loaded neurons the ratio was reduced to 0.32±0.18 (n=35) (FIGS. 3C, 3D). Thus, loading of hippocampal neurons with R9-QDHWC peptide resulted in specific impairment of synaptic function in our experiments.

The homogenious time-resolved fluorescence resonance energy transfer (HTRF) experiments are based on the FRET energy transfer between caged donor fluorophore with a delayed emission and a neighboring acceptor fluorophore (FIG. 4). Excitation of a donor fluorophore by a Xenon flash lamp results in prompt fluorescence (FIG. 4). Photons emmited during delayed emission stage are absorbed by an acceptor and result in HTRF signal. Bio-NC peptide (1000 nM) and GST-Mint1-PDZ1/2 protein (1000 nM) were mixed in HTRF buffer (0.2% BSA in PBS, 100 mM KF) and incubated for 90 min. For donor labeling, Eu³⁺ cryptate (EuK) conjugated anti-GST monoclonal antibodies (CIS Bio International, 61GSTKLA) were added (10 nM). For acceptor labeling, Streptavidin-XL (Streptavidin conjugated to XL665, 610SAXLA from CIS Bio International) were added (100 nM). The reaction mixture was incubated for 60 more minutes. As a negative control 1000 nM of Biotin was used in reaction instead of Bio-NC peptide. The reaction mixtures were aliquoted 50 μl per well in black 384 well plates (Costar) for HTRF measurements.

The HTRF measurements were taken using Perkin Elmers Envision available at UT Southwestern HTS facility. Parameters: Excitation at 320 nm. Detection—Channel 1: 665 nm; Channel 2: 590 nm. Delay 50 μs. Time between flashes: 2000 μs. Number of flashes: 200/well. The HTRF ratio of 665 nm/620 nm (channel1/channel2).

The inventors determined that HTRF ratio is equal to 0.06 for bio-NC/GST-Mint1-PDZ-1/2 pair (FIG. 5). In control experiments, they determined that HTRF ratio is less than 0.04 for Biotin/GST-Mint1-PDZ-1/2 pair (FIG. 5). Thus, the signal/background ratio in present conditions was 1.7 (FIG. 5). The data are highly reproducible (FIG. 5), but further optimization is required to improve S/B ratio for HTS screen.

The initial step in the AlphaScreen signal amplification strategy (Perkin Elemers) is the conversion of ambient oxygen to the singlet state by a photosensitizer in the Donor bead upon illumination at 680 nm (FIG. 6). The Acceptor beads contain a thioxene derivative that reacts with the singlet oxygen to generate chemiluminescence at 370 nm. Energy transfer to fluorescent acceptors in the same beads shifts the emission wavelength to 520-620 nm. The half-life of the decay reaction is 0.3 sec, which makes the AlphaScreen fluorescence signal very long lived and allows the technology to operate in time-resolved mode. The short lifetime of singlet oxygen in aqueous solution (˜4 μsec) allows diffusion over a distance up to ˜200 nm (FIG. 6).

In the inventors' experiments, bio-NC peptide (63, 189, 1000 nM) and GST-Mint1-PDZ1/2 protein (63, 189, 1000 nM) were mixed in ALPHA buffer (Hepes 25 mM, pH 7.2; NaCl 100 mM; BSA 0.1%) and incubated for 10 h. Anti-GST acceptor beads (Perkin-Elmer) and Streptavidin donor beads (Perkin-Elmer) were added. The reaction mixture was incubated for 60 more minutes. As a negative control (63, 189, 1000 nM) of Biotin was used in reaction instead of Bio-NC peptide. The reaction mixtures were aliquoted 50 μl per well in black 384 well plates (Costar) for ALPHA measurements.

The ALPHA measurements were taken using Perkin Elmers Envision available at UT Southwestern HTS facility. Parameters: Excitation at 680 nm. Detection −570 nm. Excitation time: 180 ms. Total measurement time: 550 ms.

The inventors determined that ALPHA signal is equal to 22,000 for bio-NC/GST-Mint1-PDZ-1/2 pair (FIG. 7, 189 nM concentration). In control experiments, they determined that ALPHA signal is less than 1,500 for Biotin/GST-Mint1-PDZ-1/2 pair (FIG. 7). Thus, the signal/background ratio in this conditions is 14 (FIG. 7). The data are highly reproducible (FIG. 7).

All of the compositions and/or methods disclosed and claimed herein can be made and executed without undue experimentation in light of the present disclosure. While the compositions and methods of this invention have been described in terms of preferred embodiments, it will be apparent to those of skill in the art that variations may be applied to the compositions and/or methods and in the steps or in the sequence of steps of the method described herein without departing from the concept, spirit and scope of the invention. More specifically, it will be apparent that certain agents which are both chemically and physiologically related may be substituted for the agents described herein while the same or similar results would be achieved. All such similar substitutes and modifications apparent to those skilled in the art are deemed to be within the spirit, scope and concept of the invention as defined by the appended claims.

REFERENCES

The following references, to the extent that they provide exemplary procedural or other details supplementary to those set forth herein, are specifically incorporated herein by reference.

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1-19. (canceled)
 20. A nucleic acid encoding peptide of 4 to about 50 residues comprising the sequence DHWC or conservative variants thereof operably linked to a promoter.
 21. The nucleic acid of claim 20, wherein said promoter is tissue specific or constitutive.
 22. The nucleic acid of claim 20, wherein said promoter is selected from the group consisting of CMV IE, RSV, and SV40 large T.
 23. The nucleic acid of claim 20, wherein said nucleic acid further comprises a polyadenylation signal.
 24. The nucleic acid of claim 20, wherein said nucleic acid is located in a viral vector.
 25. The nucleic acid of claim 24, wherein said viral vector is selected from the group consisting of retrovirus, adenovirus, adeno-associated virus, vaccinia virus, herpesvirus and polyoma virus.
 26. The nucleic acid of claim 20, wherein said nucleic acid is comprised in a non-viral vector.
 27. The nucleic acid of claim 26, wherein said non-viral vector is comprised in a lipid vehicle.
 28. The nucleic acid of claim 27, wherein said lipid vehicle is a liposome.
 29. The nucleic acid of claim 20, wherein said nucleic acid further encodes a permeant protein delivery motif fused to SEQ ID NO:1. 30-42. (canceled)
 43. A method of inhibiting pain in an animal comprising administering to said animal a nucleic acid encoding peptide of 4 to about 50 residues comprising the sequence DHWC or conservative variants thereof operably linked to a promoter, said nucleic acid dispersed in a pharmaceutically acceptable buffer, diluent or excipient.
 44. The method of claim 43, wherein said nucleic acid is located in a viral vector.
 45. The method of claim 44, wherein said viral vector is selected from the group consisting of retrovirus, adenovirus, adeno-associated virus, vaccinia virus, herpesvirus and polyoma virus.
 46. The method of claim 43, wherein said nucleic acid is comprised in a non-viral vector.
 47. The method of claim 43, wherein the pain to be treated is selected from the group consisting of neuropathic pain, inflammatory pain and pain secondary to cancer.
 48. The method of claim 43, further comprising administering a second anti-pain agent to said animal.
 49. A method of screening for an anti-pain agent comprising: (a) providing a peptide of 4 to about 50 residues comprising the a peptide with one or more conservative variants of DHWC (SEQ ID NO:1); (b) contacting said peptide with an animal model of pain; and (c) determining the ability of the peptide to inhibit pain in said animal model.
 50. A method of screening for an anti-pain agent comprising: (a) providing a peptide of 4 to about 50 residues comprising the sequence DHWC (SEQ ID NO:1); (b) contacting said peptide and Mint1 in the presence of a candidate substance; and (c) determining the ability of candidate substance to inhibit the peptide bindning Mint1.
 51. A method of screening for an anti-pain agent comprising: (a) providing a peptide of 4 to about 50 residues comprising the sequence DHWC (SEQ ID NO:1); (b) contacting said peptide and Mint1-PDZ1 domain in the presence of a candidate substance; and (c) determining the ability of candidate substance to inhibit the peptide bindning Mint 1-PDZ1 domain.
 52. A method of screening for an anti-pain agent comprising: (a) providing a peptide of 4 to about 50 residues comprising the sequence DHWC (SEQ ID NO:1); (b) contacting said peptide and Mint1-PDZ1/2 domains in the presence of a candidate substance; and (c) determining the ability of candidate substance to inhibit the peptide bindning Mint1-PDZ1/2 domains.
 53. A method of screening for an anti-pain agent comprising: (a) providing a peptide of 4 to about 50 residues comprising the sequence DHWC (SEQ ID NO:1); (b) contacting said peptide and Mint2 in the presence of a candidate substance; and (c) determining the ability of candidate substance to inhibit the peptide bindning Mint2.
 54. A method of screening for an anti-pain agent comprising: (a) providing a peptide of 4 to about 50 residues comprising the sequence DHWC (SEQ ID NO:1); (b) contacting said peptide and Mint2-PDZ1 domain in the presence of a candidate substance; and (c) determining the ability of candidate substance to inhibit the peptide bindning Mint2-PDZ1 domain.
 55. A method of screening for an anti-pain agent comprising: (a) providing a peptide of 4 to about 50 residues comprising the sequence DHWC (SEQ ID NO:1); (b) contacting said peptide and Mint2-PDZ1/2 domains in the presence of a candidate substance; and determining the ability of candidate substance to inhibit the peptide bindning Mint2-PDZ1/2 domains. 